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Updated: Jul 19, 2026

Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Bilateral bladder erosion of a transobturator tape mesh
Mitesh H Parekh1, Vatche A Minassian, Deborah Poplawsky
1Division of Urogynecology, Department of Obstetrics and Gynecology, Geisinger Health Systems, Danville, PA 17822, USA.
Background:
The transobturator tape procedure is reported to be an effective procedure with low complication rates.
Case:
A 45-year-old woman underwent surgery for prolapse and incontinence. The surgery included transobturator tape. Intraoperative cystoscopy was not performed. Postoperatively, a mesh erosion into the bladder on the left side and a large cystocele were diagnosed. The patient underwent a combined transurethral and suprapubic mesh resection. Six months later, she had another mesh erosion on the contralateral side. This time, a complete vaginal resection of the mesh was performed.
Conclusion:
Intraoperative cystoscopy should be considered after a transobturator tape procedure. Bilateral mesh erosion may result from motion of a cystocele against a fixed transobturator tape. Concurrent repair of the cystocele to prevent future mesh erosions may be warranted.
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