Mesh Complications Patient Story 10
Vaginal Mesh Extrusion & Painful Intercourse after Sacral Colpopexy
Mesh Complications: Bloody vaginal discharge, extruding vaginal mesh, pain with intercourse
Treatment: Vaginal removal of approximately half of the Teflon coated polypropylene mesh from the apex of the vagina
The patient is a 56 -year- old woman who underwent an Avaulta (Bard Urology) vaginal mesh procedure for a rectocele three years ago. The patient reported painful intercourse since her surgery.
- 2002 - TAH (Hysterectomy), Burch urethropexy,
- 2003 - Laparoscopic sacral colpopexy (by Dr. Miklos)
- 2006 - Posterior Repair w/ AMS Mesh (Apogee) - by Dr. Miklos
- 2010 - Removal of Gortex Sacral colpopexy Mesh (performed in 1988)
The patient presented with the above symptoms and examination revealed a complete extrusion of the mesh (Y-Mesh Graft) through a perforation at the apex of the vagina. The mesh was removed through the vaginal opening. The mesh was cut away, and the edges of the area of skin perforation were trimmed to make them free of scar and the defect was closed using suture. The patient was discharged the day after surgery and was without pain.
Please note the patient’s support of the rectum i.e. posterior repair with American Medical Systems (AMS) mesh is doing well eight years after placement on the posterior vaginal wall. This procedure continues to work for the rectocele, and the mesh in this area has not created any problems. The mesh used for the sacral colpopexy (2003) was Teflon coated polypropylene mesh is no longer manufactured due to reports of patient infection.
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