Vaginal Mesh Kits Complications: Groin and / or Buttocks Pain

Patients receiving transvaginal mesh surgery for cystoceles and rectoceles as well as vault prolapse may present postoperatively with pain in the groin, buttocks or both depending on whether the surgeon used a mesh that utilizes a “first generation” mesh kit such as :   Apogee/Perigee, Prolift, Avualta and similar type kits.  These older mesh designs utilized a central body of mesh with long arms.  These long arms of the mesh were placed using long needle introducers and help to stabilize the body of mesh into position and fix the prolapse being addressed (i.e. cystocele, rectocele and vault prolapse).

Patients with groin pain most commonly received anterior vaginal wall mesh to treat cystocele ( i.e. bladder drop). The long arms of the mesh exit through the groin and on occasion can cause pain in the groin and inner thigh.

 

Examples of anterior vaginal wall meshes with arms include:  Perigee, Anterior Avaulta, and Anterior Prolift.  

 

Patients with buttocks pain most commonly received posterior vaginal wall mesh to treat rectoceles, enteroceles and vaginal vault prolapse. The long arms of the mesh exit through the buttocks cheeks and on occasion can cause pain in the buttocks region.

 

Examples of posterior vaginal wall mesh with arms include:  Apogee, Posterior Avaulta and Posterior Prolift. 

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