TY - JOUR T1 - An unusual long-term complication of transobturator polypropylene mesh. JF - Arch Gynecol Obstet Y1 - 2014 A1 - Sartore, Andrea A1 - Zennaro, Floriana A1 - Banco, Rubina KW - Cystocele KW - Dyspareunia KW - Female KW - Glucocorticoids KW - Humans KW - Middle Aged KW - Pelvic Organ Prolapse KW - Polypropylenes KW - Postoperative Complications KW - Prednisone KW - Surgical Mesh KW - Treatment Outcome KW - Vagina AB -

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.

VL - 290 IS - 6 U1 - http://www.ncbi.nlm.nih.gov/pubmed/25022558?dopt=Abstract ER -