Successful Vaginal Repair of Mesh Contraction Using a Xenograft

Abstract

Synthetic mesh applied to vaginal reconstructive surgery is growing popular in recent years. Many meshrelated complications have been continually published, but the clinical evidence is limited in regarding to repair large vaginal defect after surgically resect contracted mesh and fibrotic vaginal tissue. We report a 60-year-old woman who experienced vaginal spotting and dyspareunia for one and half years after hysterectomy with anterior vaginal wall inlaid synthetic mesh. Mesh shrinkage and vaginal stricture were the first impressions. Because she was continually treated with conservative methods for more than 6 months, but the symptoms did not relief. Surgical operation was arranged thereafter in our urogynecologic department. After the fibrotic tissue and contracted mesh were resected, then an appropriate size of Surgisis® (Cook Surgical Biodesign, Bloomington, Indiana) was overlaid the large defect without tension and sutured to the edges of healthy epithelium. It was successful vaginal tissue re-epithelialization without complications and the the xenograft mesh was totally reabsorbed within nine months.