https://doi.org/10.4081/uij.2019.224

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

Vol. 31 No. 1 (2019)
Submitted: 9 September 2018
Accepted: 21 March 2019
Published: 29 March 2019
Anterior enterocele, Transvaginal mesh repair, Pelvic organ prolapse
Abstract Views: 643
PDF: 332
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Authors

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

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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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

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