Mesh Complications Patient Story 12
Vesicovaginal Fistula (hole between bladder and vagina) & Urine Leakage after Anterior Repair (Cystocele) with Mesh
Mesh Complications: Continuous urine leakage due to vesicovaginal fistula (VVF); Mesh inside the bladder and vagina
Treatment: Laparoscopic and transvaginal mesh removal from the vagina and bladder. Vesicovaginal fistula repaired laparoscopically.
The patient is a 69-year-old woman who was referred to International Urogynecology Associates by a local urologist. The referring urologist performed a TVT sling for urine leakage and a gynecologist using an Anterior Prolift (Gynecare) performed a concurrent cystocele repair.
The patient was hospitalized over night. The patient reported that during her stay she started leaking urine. Her healthcare provider told her this was normal. “I left the hospital asking for extra pads.” Approximately five weeks postoperatively the referring urologist diagnosed the patient with a fistula and mesh in the bladder.
Our examination confirmed a hole as well as mesh in both the vagina and bladder consistent with a vesicovaginal fistula. The patient was instructed to wait another five weeks before surgery. This waiting period allowed the swelling and inflammation to decrease in the surrounding tissue. The patient was taken to the operating room the mesh was removed, and the VVF repaired laparoscopically. The patient has been problem free since the surgery.
Click here to find out more about Prolift / Apogee / Perigee complications.
Click here to find out more about Vaginal Mesh Kit complications.
Click here for related patient stories
