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Mesh excision secondary to spondylodiscitis after colposacropexy graft rejection: a step by step video
J Sanz Pablos1, E Cabezas Lopez2,3, M Miró Matos2
1Division of female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology, Hospitales Madrid (HM), Boadilla del Monte, Madrid, Spain. sanzpablosjaime@gmail.com.
Introduction:
Spondylodiscitis secondary to colposacropexy is an extremely rare entity. Infection and mesh rejection are the main causes. Removal of the mesh is essential for patient's recovery and it can be a very challenging surgical procedure.
Case:
A 72-year-old woman presented with severe low back pain in the context of a recent colposacropexy. Magnetic resonance imaging was performed and spondylodiscitis secondary to prolapse correction surgery with mesh was suspected. In order to ensure an adequate recovery, removal of the mesh was required.
Conclusions:
Spondylodiscitis secondary to colposacropexy should be suspected when the patient starts with moderate lumbar pain and is not correctly controlled with first-level analgesia. Infection or mesh rejection should be considered. Mesh rejection should be suspected when the patient does not improve after antibiotics. Complete removal of the mesh is needed in order to ensure the patient's recovery.
Insights
Spondylodiscitis after colposacropexy is rare, often caused by infection or mesh rejection. Prompt mesh removal is crucial for patient recovery, though it can be surgically complex.
Area of Science:
- Urogynecology
- Neurosurgery
- Infectious Diseases
Background:
- Colposacropexy, a surgical procedure for pelvic organ prolapse, can rarely lead to spondylodiscitis.
- Infection and mesh rejection are the primary causes of this rare complication.
