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Surgical management of bladder erosion and pelvic pain after laparoscopic lateral suspension for pelvic organ prolapse.
Milani, Rodolfo; Manodoro, Stefano; Passoni, Paolo; Locatelli, Luca; Barba, Marta; Frigerio, Matteo.
Afiliación
  • Milani R; ASST Monza, San Gerardo Hospital, Monza, Italy.
  • Manodoro S; ASST Santi Paolo e Carlo, University Hospital San Paolo, Milano, Italy. stefano.manodoro@gmail.com.
  • Passoni P; ASST Monza, San Gerardo Hospital, Monza, Italy.
  • Locatelli L; ASST Monza, San Gerardo Hospital, Monza, Italy.
  • Barba M; ASST Monza, San Gerardo Hospital, Monza, Italy.
  • Frigerio M; ASST Monza, San Gerardo Hospital, Monza, Italy.
Int Urogynecol J ; 31(4): 843-845, 2020 04.
Article en En | MEDLINE | ID: mdl-32140753
INTRODUCTION AND HYPOTHESIS: 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. METHODS: 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). RESULTS: No surgical complications were observed. The postoperative course was uneventful. At the current follow-up, the patient reported complete resolution of her symptoms. CONCLUSION: 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 useful in providing anatomical views and surgical steps necessary for achieving successful surgical management of this mesh-related complication.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vejiga Urinaria / Laparoscopía / Prolapso de Órgano Pélvico Tipo de estudio: Etiology_studies Aspecto: Patient_preference Límite: Female / Humans / Middle aged Idioma: En Revista: Int Urogynecol J Asunto de la revista: GINECOLOGIA / UROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vejiga Urinaria / Laparoscopía / Prolapso de Órgano Pélvico Tipo de estudio: Etiology_studies Aspecto: Patient_preference Límite: Female / Humans / Middle aged Idioma: En Revista: Int Urogynecol J Asunto de la revista: GINECOLOGIA / UROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido