Combined laparoscopic and vaginal radical Prolift mesh excision with left sacral nerve root detrapment

Bukhari Y1, Sermer C1, Lemos N1

Research Type


Abstract Category

Pelvic Pain Syndromes

Best Video Abstract (Joint)
Abstract 302
Surgical Videos - Urogynaecology and Pain
Scientific Podium Video Session 37
Friday 29th September 2023
16:27 - 16:36
Room 104AB
Neuropathies: Peripheral Pelvic Organ Prolapse Pain, Pelvic/Perineal
1. Department of Obstetrics and Gynecology, University of Toronto, Toronto, Canada

Yasir Bukhari



The Prolift pelvic mesh kit for pelvic organ prolapse has been
linked to various complications, including chronic pelvic pain,
mesh exposure, and bothersome discharge (AUGS-IUGA Joint
statement; 2020). Additionally, cases of intrapelvic nerve entrapment related to
the Prolift pelvic mesh kit have been reported in the literature
(Possover; 2011). The management of such cases is nerve detrapment followed
by mesh excision to decrease the opportunity of nerve damage
when retrieving the mesh
Video presentation of a surgical case.
A 62 F G2P1A1, PMH: Arthritis, dyslipidemia, hypothyroidism, diverticulitis. She had a laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy for pelvic organ prolapse in 2009. She developed a recurrent vault prolapse post-op, and had Prolift mesh placed in 2009. In 2021, the patient developed vaginal spotting and discomfort. In 2022, she was seen in the clinic,  and her exam showed a 4x1cm painful mesh erosion and pain on S3,S4 dermatomes on the left side
In conclusion, the presented video highlights the possible
adverse effects linked with the Prolift kit, namely, pelvic nerve
entrapment. The feasibility of the suggested management approach,
consisting of laparoscopic nerve detrapment followed by
laparoscopic and vaginal mesh excision, is demonstrated in the
video. It is anticipated that this therapeutic intervention will alleviate
the chronic pain and bothersome discharge associated with
the Prolif kit
Funding NONE Clinical Trial No Subjects Human Ethics not Req'd A video presentation. Consent to share the video for academic purposes has been obtained from the patient. Helsinki Yes Informed Consent Yes

Continence 7S1 (2023) 101019
DOI: 10.1016/j.cont.2023.101019

23/06/2024 10:03:36