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Updated: May 3, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Actinomyces infection appearing five years after trocar-guided transvaginal mesh prolapse repair
Jaromir Masata1, Pavel Dundr, Alois Martan
1Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General University Hospital in Prague, Prague, Czech Republic, masata@volny.cz.
Abstract:
Bacterial colonization and chronic infection following mesh-augmented pelvic floor reconstructive surgery may be one reason for abnormal healing and the occurrence of complications such as a mesh erosion, pain, and shrinkage. This case presents a patient with Actinomyces infection that appeared 5 years after trocar-guided transvaginal mesh repair of pelvic organ prolapse (POP). In patients with recurrent symptomatic mesh exposure, if partial removal or conservative treatment is unsuccessful, the possibility of Actinomyces infection should be considered.
Insights
Actinomyces infection can occur years after pelvic organ prolapse (POP) surgery. Consider this infection in patients with recurrent mesh exposure unresponsive to standard treatments.
Area of Science:
- Urogynecology
- Surgical Infections
- Medical Device Complications
Background:
- Mesh-augmented pelvic floor reconstructive surgery is used for pelvic organ prolapse (POP).
- Complications like mesh erosion, pain, and shrinkage can occur.
- Bacterial colonization and chronic infection are potential causes of abnormal healing.
Observation:
- A case of Actinomyces infection is presented.
- The infection appeared 5 years after trocar-guided transvaginal mesh repair for POP.
- The patient experienced recurrent symptomatic mesh exposure.
Findings:
- Actinomyces infection should be considered in cases of recurrent symptomatic mesh exposure.
- Conservative treatment or partial mesh removal may be unsuccessful.
- Delayed-onset infection is a possibility following mesh repair.
Implications:
- This case highlights the importance of considering rare infections in delayed mesh complications.
- Prompt diagnosis and appropriate treatment are crucial for managing Actinomyces infections post-POP surgery.
- Further research into long-term mesh-related infections is warranted.
