Peer-reviewed veterinary case report
Vaginal mesh exposure after pessary use following mesh surgery
By Tsunoda Y et al.·2026·Department of Female Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital Nagoya Japan., Japan·View original on Europe PMC →
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Original publication title: Vaginal Mesh Exposure Following Pessary Use After Transvaginal Mesh Surgery: A Case Report.
Plain-English summary
A woman had surgery to fix her pelvic organ prolapse using a mesh implant, and ten years later, she started to have some mild issues again. Her doctors suggested she use a vaginal pessary, which is a device to help support the pelvic organs. After three years of using the pessary, she experienced vaginal bleeding and an unpleasant smell, and doctors found that the mesh was exposed. Although they didn't take this seriously and continued the pessary, she eventually sought help at a hospital where they removed the exposed mesh. After the surgery, she recovered well and had no complications for the next two years.
Abstract
<h4>Introduction</h4>Vaginal pessaries are a widely used treatment for pelvic organ prolapse. They are considered minimally invasive, effective, and easy. However, pessary-related adverse events are sometimes underestimated. Here, we report on an important case of vaginal mesh exposure as a pessary complication.<h4>Case presentation</h4>A patient underwent transvaginal mesh surgery for pelvic organ prolapse, and after 10 years, had a mild recurrence. Gynecologists recommended that she use a pessary. After 3 years, she had vaginal bleeding and malodor. Gynecologists detected mesh exposure, but they downplayed the finding and continued pessary use. Two years after that, she came to our hospital and underwent mesh excision surgery. She had an uneventful postoperative course with no complications in the 2 years after the surgery.<h4>Conclusion</h4>We propose that pessary use after mesh surgery can cause mesh exposure, which must not be ignored because it may lead to mesh infection and intra-abdominal abscess.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41509554