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Updated: Jan 13, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Vaginal Mesh Exposure Following Pessary Use After Transvaginal Mesh Surgery: A Case Report
Yukiko Tsunoda1, Kumiko Kato2, Hidemori Araki3
1Department of Female Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital Nagoya Japan.
Introduction:
Vaginal pessaries are a widely used treatment for pelvic organ prolapse. They are considered minimally invasive, effective, and easy. However, pessary-related adverse events are sometimes underestimated. Here, we report on an important case of vaginal mesh exposure as a pessary complication.
Case Presentation:
A patient underwent transvaginal mesh surgery for pelvic organ prolapse, and after 10 years, had a mild recurrence. Gynecologists recommended that she use a pessary. After 3 years, she had vaginal bleeding and malodor. Gynecologists detected mesh exposure, but they downplayed the finding and continued pessary use. Two years after that, she came to our hospital and underwent mesh excision surgery. She had an uneventful postoperative course with no complications in the 2 years after the surgery.
Conclusion:
We propose that pessary use after mesh surgery can cause mesh exposure, which must not be ignored because it may lead to mesh infection and intra-abdominal abscess.
