Related Experiment Video
Updated: Jun 25, 2026

Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Multiple perineal abscesses and sinus tracts as a complication of vaginal mesh
Christina Lewicky-Gaupp1, Edward J McGuire, Dee E Fenner
1Department of Obstetrics and Gynecology, Division of Gynecology, Pelvic Floor Research Group, University of Michigan Medical School, Ann Arbor, MI, USA. clewicky@med.umich.edu
Abstract:
Understanding the occurrence and management of mesh kit complications has become increasingly important. A 54-year-old woman presented to our tertiary care center with complaints of constant perineal pain, and copious, foul-smelling vaginal discharge after anterior and posterior placement of a synthetic mesh and mid-urethral sling 3 months earlier. She was found to have two vaginocutaneous sinus tracts (to the left ischiorectal fossa and to the left labia majora), as well as bilateral abscess cavities within the ischiorectal fossae. The posterior mesh was completely excised, the tracts were opened, and the wound was packed and allowed to heal by secondary intention.
Related Concept Videos
Diverticular Disease of the Colon
Brain Abscess l: Introduction
Microbiota of the Urogenital Tract
Muscles of the Pelvic Floor and Perineum
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Appendicitis
