TY - JOUR AU - Roman, Jose Daniel PY - 2019/03/29 Y2 - 2024/03/28 TI - Transvaginal mesh repair of anterior enterocele following radical cystectomy and ileal conduit diversion JF - Urogynaecologia JA - UIJ VL - 31 IS - 1 SE - Case reports DO - 10.4081/uij.2019.224 UR - https://www.urogynaecologia.org/uij/article/view/224 SP - AB - <p>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.</p> ER -