Журнал клинических случаев

Erosion of the Mesh Prosthesis into the Rectum

Abstract

Pavlov VN, Yashchuk AG, Musin II, Fatkullina IB, Naftulovich RA, Popova EM and Molokanova AR

Introduction: Currently, sacrocolpopexy is a popular method of surgical correction of pelvic prolapse. Case Materials and Methods: This article describes a clinical case of erosion of mesh prosthesis into the rectum in a patient after sacrocolpopexy. This study has received approval of Ethics Institutional Review Board. Discussion: The diagnostic tests performed to identify the fistulous course with subsequent removal of the mesh prosthesis and the postoperative period is described in detail. Computer tomography with contrast in this case is the only method in assessing the vaginal stump in relation to neighboring pelvic organs, the size of the rectal lesion and the presence of an abscess or fistula. Surgical treatment is the only possible solution. Pelvic surgeons should be aware of possible mesh erosion in neighboring organs, even considering that complications can be rare. Result and conclusion: A differentiated approach to the choice of surgical treatment allows minimizing both operational and postoperative complications. This surgical technique demonstrates erosion of the mesh prosthesis in the rectum and removal of the rectal mesh with transrectal access.