経腟メッシュ手術後の骨盤臓器脱再発に対し、腹腔鏡下仙骨子宮靭帯挙上術が有用であった１例

抄録

　Pelvic organ prolapse (POP) is a common gynecological disease in adult women. It is characterized by vaginal bulging and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, all of which may impair quality of life. There are various treatments for POP, including conservative approaches and surgical procedures. Transvaginal mesh (TVM) surgery for POP repair has been associated with various complications, such as mesh exposure, chronic pelvic pain, and dyspareunia. After a U.S. Food and Drug Administration (FDA) alert in 2011, we began paying more attention to native tissue repair, laparoscopic sacrocolpopexy, and other related issues.

　We report a case of recurrent vaginal prolapse after TVM surgery, with successful treatment by laparoscopic uterosacral ligament suspension (LUSLS). The patient was a 72-year-old woman who had undergone TVM surgery at 64 years of age. She noticed POP recurrence with vaginal mesh exposure and dyspareunia 3 years after TVM surgery. She visited our hospital at 72 years old. She underwent LUSLS and has had no subsequent recurrence of POP. LUSLS is a safe and effective surgical procedure for POP repair, even in cases of recurrent POP following TVM surgery.