Yamada Brian S, Govier Fred E, Stefanovic Ksenija B, Kobashi Kathleen C
Virginia Mason Medical Center, Seattle, Washington 98101, USA.
Urology. 2006 Nov;68(5):1121.e5-7. doi: 10.1016/j.urology.2006.06.023. Epub 2006 Nov 7.
The transobturator polypropylene mesh system is a new approach in the surgical treatment of anterior vaginal wall prolapse. We report the case of a 57-year-old woman who developed a vesicovaginal fistula with erosion of the mesh into the bladder and vagina after Perigee transobturator, polypropylene mesh anterior repair. This is a serious complication associated with this technique. Treatment required an open vesicovaginal fistula repair with excision of the exposed and nearby surrounding mesh.