Background: This report describes a retroperitoneal abscess occurring 5 years after laparoscopic sacral colpopexy, and its treatment. Case: A 35-year-old woman complained of malodorous abnormal vaginal discharge and chronic abdominal pain. At vaginal examination, mesh erosion was observed on the anterior vaginal wall. Magnetic resonance imaging showed a retroperitoneal abscess between the cervix and the posterior bladder wall. Vaginal surgery combined with antibiotic therapy was chosen to drain the abscess and remove a large part of the mesh. Prolonged antibiotic therapy was maintained after the treatment. Results: At 1 year follow-up no recurrence of apical prolapse was observed. Conclusions: Vaginal surgery combined with antibiotic therapy was safe, minimally invasive, and successful in treating a retroperitoneal abscess related to mesh erosion after sacral colpopexy. (J GYNECOL SURG 30:126)
Get full access to this article
View all access options for this article.
References
1.
DiwadkarGB, BarberMD, FeinerB, MaherC, JelovsekJE. Complication and reoperation rates after apical vaginal prolapse surgical repair: A systematic review. Obstet Gynecol, 2009; 113:367.
2.
HartSR, WeiserEB. Abdominal sacral colpopexy mesh erosion resulting in a sinus tract formation and sacral abscess. Obstet Gynecol, 2004; 103:1037.
3.
CollinsSA, TulikangasPK, LasalaCA, LindLR. Complex sacral abscess 8 years after abdominal sacral colpopexy. Obstet Gynecol, 2011; 118:451.
4.
PatsnerB. Mesh erosion into the bladder after abdominal sacral colpopexy. Obstet Gynecol, 2000; 95:1029.
