Vaginal Treatment of a Retroperitoneal Abscess Occurring 5 Years After Laparoscopic Sacral Colpopexy

Background: This report describes a retroperitoneal abscess occurring 5 years after laparoscopic sacral colpo- pexy, and its treatment. Case: A 35-year-old woman complained of malodorous abnormal vaginal discharge and chronic abdominal pain. At vaginal examination, mesh erosion was observed on the anterior vaginal wall. Magnetic resonance imaging showed a retroperitoneal abscess between the cervix and the posterior bladder wall. Vaginal surgery combined with antibiotic therapy was chosen to drain the abscess and remove a large part of the mesh. Prolonged antibiotic therapy was maintained after the treatment. Results: At 1 year follow-up no recur- rence of apical prolapse was observed. Conclusions: Vaginal surgery combined with antibiotic therapy was safe, minimally invasive, and successful in treating a retroperitoneal abscess related to mesh erosion after sacral colpopexy.