@article {3582, title = {An unusual long-term complication of transobturator polypropylene mesh.}, journal = {Arch Gynecol Obstet}, volume = {290}, year = {2014}, month = {2014 Dec}, pages = {1273-4}, abstract = {

Serious complications associated with surgical mesh for transvaginal repair of POP, as infections, vaginal mesh exposure, painful mesh shrinkage and dyspareunia, are not rare. A 48-year-old woman underwent the Perigee procedure because of a stage 3 anterior wall prolapse. Eleven months after surgery, the patient became suddenly unable to walk because of a strong pain to the left thigh root after running. The MRI revealed an external obturator left muscle hyperintensity consistent with muscular oedema; the patient was treated with oral corticosteroids with a complete resolution of the pain. We could hypothesize that the posterior arm of the mesh caused a laceration of the muscles of the obturator space with consequent oedema and pain. The use of the meshes in prolapse surgery can cause unexpected long-term complications.

}, keywords = {Cystocele, Dyspareunia, Female, Glucocorticoids, Humans, Middle Aged, Pelvic Organ Prolapse, Polypropylenes, Postoperative Complications, Prednisone, Surgical Mesh, Treatment Outcome, Vagina}, issn = {1432-0711}, doi = {10.1007/s00404-014-3368-4}, author = {Sartore, Andrea and Zennaro, Floriana and Banco, Rubina} }