Peer-reviewed veterinary case report
Urethral diverticulum and stones after mesh surgery - what to know
By Papastamatiou M et al.·2026·1 Department of Obstetrics & Gynecology·View original on Europe PMC →
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Original publication title: Urethral diverticulum complicated by multiple calculi secondary to urethral mesh erosion: A case report.
Plain-English summary
This case involves a 65-year-old woman who developed complications 15 years after surgery to fix a vaginal prolapse. For the past eight years, she had been experiencing ongoing pelvic pain, frequent urinary tract infections, bad-smelling vaginal discharge, and a strong need to urinate often. Doctors used an MRI to find that the mesh from her surgery had eroded and caused a pouch in her urethra that had a stone in it. She underwent surgery to remove the mesh and the stone, and also to repair the urethra. Three months after the surgery, she was free of symptoms and able to control her urination.
Abstract
The case of a 65-year-old woman with a complication 15 years after mesh repair of vaginal prolapse is presented. The patient presented with chronic pelvic pain, recurrent urinary tract infections (UTIs), foul-smelling vaginal discharge, and urinary frequency/urgency for the previous eight years. Magnetic resonance imaging led to the diagnosis of vaginal mesh erosion and a urethral diverticular calculus secondary to urethral mesh erosion. Transvaginal removal of the mesh erosion was performed with simultaneous exploration of the urethral diverticulum, removal of a urethral stone, and urethral reconstruction using a multi-layer approach. Three months later she was symptom-free and continent. This case adds to the limited literature on urethral diverticulum with calculi secondary to mesh erosion, and highlights the need for long-term follow-up and clinician awareness of this rare, delayed complication.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41859071