Transvaginal repair of enterocele following robot-assisted radical cystectomy using a mesh for abdominal wall hernia repair

IntroductionThis report aims to describe our experience in the pelvic floor reconstruction of anterior enterocele following radical cystectomy by transvaginal surgery using a mesh for abdominal wall hernia repair. Case presentationAn 84-years-old woman developed pelvic organ prolapse 4 months after...

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Bibliographic Details
Published in:IJU case reports 2022, Vol.5 (5), p.389-392
Main Authors: Kuwata, Tomoko, Takeyama, Masami, Watanabe, Masaki, Kashihara, Hiromi, Kato, Chikako
Format: Report
Language:English
Online Access:Get full text
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Summary:IntroductionThis report aims to describe our experience in the pelvic floor reconstruction of anterior enterocele following radical cystectomy by transvaginal surgery using a mesh for abdominal wall hernia repair. Case presentationAn 84-years-old woman developed pelvic organ prolapse 4 months after undergoing robot-assisted radical cystectomy. After examination, she was diagnosed with a midline anterior enterocele. Considering the thinness of the vaginal wall and the large defect of the vaginal wall muscle layer, we performed transvaginal repair using a mesh for abdominal wall hernia repair designed to reduce the adhesion to the intestinal tract. ConclusionAt the 1-year follow-up, neither recurrence nor complications were observed. This showed that transvaginal mesh surgery for abdominal wall hernia repair could be a treatment option for pelvic organ prolapse with a vaginal wall muscle layer defect after radical cystectomy.
ISSN:2577-171X
DOI:10.1002/iju5.12497