Transvaginal mesh repair of anterior enterocele following radical cystectomy and ileal conduit diversion

  • Jose Daniel Roman | jdberoman@gmail.com Department of Gynaecology, Braemar Hospital, Hamilton, New Zealand.

Abstract

Complex pelvic organ prolapses may develop after radical cystectomy. We report a case of an anterior enterocele, which was repaired vaginally and using mesh placed extraperitoneally. We present the case of a 75-year-old woman who underwent a radical cystectomy and ileal conduit diversion for treatment of invasive bladder cancer. She developed a vaginal vault prolapse 4 months later. She then underwent a vaginal repair and sacrospinous fixation using no mesh. She then presented to our clinic 4 months later with a prolapse recurrence involving an anterior enterocele. She was treated successfully with a transvaginal mesh repair for reconstruction of the anterior vaginal wall, iliococcygeal suspension and colpocliesis. We argue that there is a place for the vaginal use of mesh in the surgical treatment of an anterior enterocele when a substantial loss of endopelvic fascia is encountered. The extraperitoneal technique seems to be a good option while reducing the surgical risks for the patient.

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Published
2019-03-29
Info
Issue
Section
Case reports
Keywords:
Anterior enterocele, Transvaginal mesh repair, Pelvic organ prolapse
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How to Cite
Roman, J. D. (2019). Transvaginal mesh repair of anterior enterocele following radical cystectomy and ileal conduit diversion. Urogynaecologia, 31(1). https://doi.org/10.4081/uij.2019.224