Related Experiment Video
Updated: May 29, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
"Like a rabbit from a hat!"--a case of a sacrocolpopexy mesh being taken out by a patient
Amitabha Majumdar1, Sepeedeh Saleh, Simon R Hill
1Lancashire Women and Newborn Centre, East Lancashire Hospitals NHS Trust, Burnley, UK. amitabhamajumdar@hotmail.com
Abstract:
Sacrocolpopexy, be it laparoscopic or abdominal, is associated with a risk of mesh extrusion. We report an interesting case of mesh extrusion with subsequent removal of the mesh from the vagina by the patient. We take this opportunity to review the literature regarding incidence, predisposing factors and complications of sacrocolpopexy mesh extrusion with specific reference to this case.
Insights
Mesh extrusion is a risk following sacrocolpopexy surgery. This case highlights a rare instance where a patient self-removed vaginal mesh, prompting a literature review on mesh complications.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
Background:
- Sacrocolpopexy, performed laparoscopically or abdominally, is a surgical procedure to correct pelvic organ prolapse.
- A known complication of sacrocolpopexy is mesh extrusion, where the surgical mesh erodes through tissues.
Observation:
- This report details a unique case of sacrocolpopexy mesh extrusion.
- The patient successfully removed the extruded vaginal mesh herself.
- This event prompted a review of existing literature on the topic.
Findings:
- Mesh extrusion following sacrocolpopexy, though uncommon, can occur.
- Predisposing factors and potential complications associated with mesh extrusion require further investigation.
- Patient self-removal of vaginal mesh is a rare but documented occurrence.
Implications:
- This case underscores the importance of patient education regarding potential mesh complications.
- Further research into minimizing mesh extrusion risks and managing such complications is warranted.
- Understanding patient-initiated interventions may inform future clinical management strategies.
