Clinical Professor UCLA David Geffen School of Medicine LOS ANGELES, California, United States
Objectives: We aim to share a unusual presentation of mesh complication after minimally invasive supracervical hysterectomy and sacrocolpopexy.
Methods: A literature review was performed involving sacrocolpopexy technique, complications, workup, and mesh complications including that of non-sacrocolpopexy procedures. In this video, we present the literature findings as it pertains to the patient's history, presentation, risk factors, and surgical history including intraoperative findings.
Clinical Relevance: Mesh infection after sacrocolpopexy have become rare in the setting of minimally invasive technique, cervical preservation if concomitant hysterectomy, and the use of lightweight polypropylene mesh. Sacrocolpopexy mesh infection most commonly presents with findings of mesh exposure vaginally or concern for viscera involvement, and rarely in the presence of vaginitis symptoms alone without other exam findings, symptoms or clinical evidence of infection. We present a video of an unusual presentation of a mesh complication two years after robotic-assisted supracervical hysterectomy and sacrocolpopexy and review the current literature of mesh infection prevalence, risk factors, and workup as it pertains to this case.
