Lumbosacral Discitis and Osteomyelitis after Sacrocolpopexy: A Case Series and Review of Management.

Complication Discitis Mesh Osteomyelitis Sacrocolpopexy Spondylodiscitis

Journal

International urogynecology journal

ISSN: 1433-3023

Titre abrégé: Int Urogynecol J

Pays: England

ID NLM: 101567041

Informations de publication

Date de publication:
16 Sep 2024

Historique:

received: 08 04 2024

accepted: 28 06 2024

medline: 17 9 2024

pubmed: 17 9 2024

entrez: 16 9 2024

Statut: aheadofprint

Résumé

Lumbosacral discitis and osteomyelitis constitute a rare but devastating complication after mesh sacrocolpopexy for pelvic organ prolapse. We present a case series of 3 patients at a single institution and a literature review of 30 patients suffering from this complication along with presenting symptoms, evaluation with laboratory and imaging findings, and management. Lumbosacral discitis can present after sacrocolpopexy of any route (abdominal, laparoscopic, and robotic) and with various suture types and tacking devices. Patients presented with lower back pain at varying time frames and with elevated inflammatory markers, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). The majority of cases required both excision of pelvic mesh via laparotomy or laparoscopy in combination with an extended course of intravenous (IV) antibiotics.

Identifiants

DOI: 10.1007/s00192-024-05897-y PMID: 39284969

pubmed: 39284969

doi: 10.1007/s00192-024-05897-y

pii: 10.1007/s00192-024-05897-y

doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

Informations de copyright

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