Dr. John Miklos and Dr. Robert Moore – Vaginal Mesh Complication Surgeons
Internationally Renowned Vaginal and Laparoscopic Surgeons
Located in Atlanta, GA – Patients from 47 States and 45 Countries
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Mesh Complication Case Study #14
TVT sling - Vaginal Extrusion
Surgery: TVT sling
Symptoms: Pain and vaginal bleeding with intercourse
Surgery: Transvaginal approach for removal of extruding mesh
Patient is now a 52 year old female who originally had her surgery in 2002 by a urologist in Atlanta, GA. In 2005 she came to our office with a complaints of left sided suprapubic and left sided labia pain since the surgery 3 years ago. Examination at that time revealed reproducible pain with palpation of the sling. Cystoscopy revealed the TVT mesh sling in the bladder. She was taken to surgery in 2005 by Dr. Miklos & Moore and had a laparoscopic removal of the sling from the bladder. Postoperatively she did well until 2011.
In 2011 she returned to be seem for vaginal bleeding and pain from the vagina with each episode of intercourse. Examination revealed an extrusion of mesh through the vaginal skin. After an informed consent she was taken to the operating room and in a 20 minutes surgery she had the extruding mesh removed. The mesh seen below is approximately 2cm or 3/4 of an inch.

The excised extruding portion of the TVT sling mesh removed from the vagina of a sexually active woman.