Retroperitoneal Hemorrhage After a Vaginal Mesh Prolapse Procedure

BACKGROUND: The present study describes a complication of a transvaginal pelvic floor repair system for the treatment of anterior vaginal prolapse. CASE: A postmenopausal woman with anterior vaginal wall prolapse was treated with a transvaginal nonabsorbable polypropylene mesh system. The procedure was complicated by a large perioperative retroperitoneal hematoma. CONCLUSION: The insertion of synthetic meshes in gynecologic surgery is gaining popularity, but all pelvic surgeons should be aware of the potential complications associated with these new techniques.