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Updated: Jul 19, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
A complex fistula caused by an eroding pelvic mesh sling
Ugo Ihedioha1, E Leung, L Chung
1Professorial Unit of Surgery, Western Infirmary, Glasgow, G11 6NT, UK. ugoihedioha@hotmail.com
Abstract:
Pelvic mesh slings are increasingly used to create abdomino-pelvic partitions. This procedure is usually safe and carries low morbidity and mortality rates. However, we report a case of a 60-year-old male with a history of an abdomino-perineal resection for a low rectal carcinoma followed by adjuvant radiotherapy, who presented with an entero-vesicle-cutaneous fistula as a result of the polypropylene mesh eroding into his small bowel. He had to have a total cystectomy, small bowel resection and mesh removal in order to alleviate his symptoms.
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