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Recently, there has been an increase in consultations related to complications from laparoscopic and transtaginal mesh surgeries.

One recent case involved a woman who had pelvic organ prolapse and underwent LSC (laparoscopic sacrocolpopexy) four years ago. Since last year, she had been experiencing vaginal pain and recurrent cystitis. She was diagnosed with GSM (Genitourinary Syndrome of Menopause) during a gynecological visit and received laser treatment, but the pain persisted, leading her to seek further consultation.

Upon examination with a camera, we found mesh exposure at the vaginal cuff and severe redness of the vaginal mucosa, indicating a painful condition.

We recently performed laparoscopic removal of the entire mesh and reconstructed the vagina laparoscopically. The surgery lasted 2 hours and 30 minutes, with minimal bleeding. She was discharged after a 2-night, 3-day hospital stay.

For future care of the vulva and vaginal mucosa, we plan to:

1. Implement local hormone therapy and low-intensity laser therapy (IntimaLaser)
2. Conduct pelvic floor rehabilitation to prevent the recurrence of pelvic organ prolapse

Contracted mesh exposure can be a source of pain.

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