Related Experiment Video
Updated: May 10, 2025
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Combined Laparoscopic and Vaginal Radical Prolift Mesh Excision With Left Sacral Nerve Root Detrapment
Yasir Bukhari1, Corey Sermer2, Maggie Payne2
1Department of Obstetrics and Gynecology, University of Toronto (Bukhari, Sermer, Payne and Lemos), Toronto, Canada; Department of Obstetrics and Gynecology, College of Medicine, King Abdulaziz University (Bukhari), Jeddah, Saudi Arabia.
Objective:
To describe a surgical technique for pelvic prolapse mesh excision.
Setting:
Tertiary health center.
Participant:
A 62-year-old woman with chronic pelvic pain, beginning 10 years after Prolift® Polypropylene mesh vaginal mesh placement (Gynecare, Ethicon, Johnson & Johnson, Somerville, NJ, USA). Exam showed a 4 × 1 cm vaginal mesh erosion and tenderness over the left S3-S4 dermatomes. MRI showed scarring around S3-S4 nerve roots, therefore entrapment of S3-S4 nerve roots was presumed.
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