Surgical management of bladder erosion and pelvic pain after laparoscopic lateral suspension for pelvic organ prolapse.

International Urogynecology Journal
Rodolfo MilaniMatteo Frigerio

Abstract

Mesh-augmented lateral suspension for prolapse repair seems to be associated with few complications. However, mesh-related complications can negatively affect the quality of life and may be challenging to manage. This video is aimed at presenting the surgical management of a case of severe pelvic pain and dyspareunia after lateral laparoscopic suspension associated with mesh erosion in the bladder. A 46-year-old woman was referred to our Unit for severe pelvic pain and inability to have sexual intercourses since undergoing a uterus-sparing laparoscopic lateral suspension procedure for genital prolapse 2 years before in another hospital. Moreover, she reported bladder pain and recurrent urinary tract infections. Cystoscopy showed mesh erosion in the bladder. She was admitted to laparoscopic hysterectomy plus subtotal mesh excision and bladder reconstruction (video). No surgical complications were observed. The postoperative course was uneventful. At the current follow-up, the patient reported complete resolution of her symptoms. The featured video shows laparoscopic subtotal mesh excision, concomitant hysterectomy and bladder repair for pelvic pain, dyspareunia and bladder erosion after lateral suspension. This video may be usef...Continue Reading

References

Jun 9, 2016·Current Opinion in Obstetrics & Gynecology·Lisa Rogo-Gupta, Mario Castellanos
Jun 28, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Rodolfo MilaniStefano Manodoro
Aug 18, 2017·International Urogynecology Journal·Stefano ManodoroRodolfo Milani
May 8, 2018·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Rodolfo MilaniMatteo Frigerio
Feb 28, 2019·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Stefano ManodoroMatteo Frigerio
Nov 17, 2019·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Rodolfo MilaniStefano Manodoro

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