%0 Journal Article %J Arch Gynecol Obstet %D 2014 %T An unusual long-term complication of transobturator polypropylene mesh. %A Sartore, Andrea %A Zennaro, Floriana %A Banco, Rubina %K Cystocele %K Dyspareunia %K Female %K Glucocorticoids %K Humans %K Middle Aged %K Pelvic Organ Prolapse %K Polypropylenes %K Postoperative Complications %K Prednisone %K Surgical Mesh %K Treatment Outcome %K Vagina %X

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.

%B Arch Gynecol Obstet %V 290 %P 1273-4 %8 2014 Dec %G eng %N 6 %1 http://www.ncbi.nlm.nih.gov/pubmed/25022558?dopt=Abstract %R 10.1007/s00404-014-3368-4