https://doi.org/10.4081/uij.2019.224
Transvaginal mesh repair of anterior enterocele following radical cystectomy and ileal conduit diversion
Accepted: 21 March 2019
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
How to Cite
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
An Open Access Publication is one that meets the following two conditions:
- the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
- a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- Gabriela Marini, Angélica M. Pascon Barbosa, Débora C. Damasceno, Selma M. Michelin Matheus, Rodrigo de Aquino Castro, Manoel João B. Castello Girão, Marilza V. Cunha Rudge, Morphological changes in the fast vs slow fiber profiles of the urethras of diabetic pregnant rats , Urogynaecologia: Vol. 25 No. 1 (2011)
- Andelo Mojsović, Alexander J.W. Beulens, Evert L. Koldewijn, Long-term efficacy and safety of a bioresorbable polycaprolactone-based injectable in female stress incontinence , Urogynaecologia: Vol. 36 No. 1 (2024)
- Carlo Rappa, Gabriele Saccone, Efficacy of the inside-out tramsobturator tension-free vaginal tape (TVT-ABBREVO) for the treatment of stress urinary incontinence after a 12-month follow-up , Urogynaecologia: Vol. 30 No. 1 (2017)
- Salma Samir Omar, Khaled F. Elmulla, Noran Abo Khadr, Ahmed Ashour Badawy, Eman Nabih Ramadan, Ahmed Hassouna, Lamia Heikal, Waleed Arafat, Impact of vaginal submucosal platelet-rich plasma combined with non-cross-linked hyaluronic acid injections on dyspareunia and sexual satisfaction in a Hodgkin lymphoma cancer survivor: a case report , Urogynaecologia: Vol. 35 No. 1 (2023)
- F. Bernasconi, G. Pisani, G. Orfanotti, S. Arienti, G. Marelli, EPIDEMIOLOGY OF THE LOWER URINARY TRACT DYSFUNCTIONS IN THE FEMALE DIABETIC POPULATION , Urogynaecologia: Vol. 15 No. 3 (2001)
- V. Leanza, N. Gasbarro, S. Caschetto, NEW TECHNIQUE FOR CORRECTING BOTH INCONTINENCE AND CYSTOCELE: T.I.C.T. (TENSION-FREE INCONTINENCE CYSTOCELE TREATMENT) , Urogynaecologia: Vol. 15 No. 3 (2001)
- Daniele Porru, Enrica Bucchioni, Marcello Macchi, Fabio Leva, Alberto Parmigiani, Davide Barletta, Dimitrios Choussos, Barbara Gardella, Maria Diletta Daccò, Rossella Elena Nappi, Massimo Allegri, Carlo Maria Bianchi, Arsenio Spinillo, Bruno Rovereto, Explorative study on the use of omalizumab in patients suffering from interstitial cystitis/bladder pain syndrome , Urogynaecologia: Vol. 26 No. 1 (2012)
- Pattaya Hengrasmee, Parit Wachasiddhisilpa, Chutimon Asumpinwong, Pichai Leerasiri, Outcomes of colpectomy for uterovaginal and posthysterectomy vault prolapse: A comparative study between normal and overweight women , Urogynaecologia: Vol. 31 No. 1 (2019)
You may also start an advanced similarity search for this article.