it has been proven to be very effective and became a standard of care in the treatment of most cases with severe prolapsus .
sacropexy is a surgical repair technique that restores pelvic anatomy by attaching synthetic graft material into the vagina and sacrum .
erosion of vaginal wall or bowel can be seen as a long term complication . in this paper
, we present a patient suffering from mesh migration into the rectum after abdominal sacral colpopexy .
a 69-year - old woman was admitted to the hospital with a complaint of sensation of fullness and a feeling of a foreign material protruding during defecation .
she had been diagnosed with uterine prolapsus and stress incontinence in 2008 and underwent total abdominal hysterectomy , bilateral salpingo - oophorectomy and sacral colpopexy with prolene mesh .
the patient was admitted to our clinic five years after the procedure with complaints mentioned above . there was a foreign material palpated in rectum with digital examination .
prolene mesh was detected in sacral region but resection of the mesh could not be conducted because of high levels of adhesions in that region .
genital prolapse or genital hernia is described as the protrusion of pelvic organs along the vagina .
it is one of the common gynecological conditions that affect the quality of life in women .
it may be seen in up to 50% of multipara women , and its incidence increases with age .
high rates of recurrence with traditional techniques led to the development of new surgical techniques .
the use of synthetic mesh has become more popular surgical approach in cystocele and rectocele repair .
mesh migration is a well - known clinical pathology and have been reported in literature .
yolen and grossman suggested that intra - abdominal foreign bodies ( like mesh ) transmigrate into the small or large bowel by triggering an inflammatory reaction .
persistent inflammatory reaction causes an opening into a hollow organ assisted by the peristaltic movement of the bowel .
insufficient fixation of a mesh is another factor for migration of synthetic materials in some patients .
larger pores greater than 75  nm permit the migration of macrophage and leukocyte migration and reduce the infection rate .
large pores also improves flexibility of the mesh and cause tissue ingrowths and healthy collagen deposition .
complications reported after sacropexy include ileus , intraoperative vessel injury , ureter injuries , recurrent descensus and mesh tearing . the use of a mesh as a graft material results in higher success rates but also causes a higher number of complications , such as mesh erosions or chronic infections .
taoka reported a case of rectal migration of mesh in a 64-year - old woman who presented with a recto - cutaneous fistula 11 months after a tension - free vaginal ( tvm ) repair ; the patient was treated by removal of the infected mesh and closure of the rectal wall defect under cover of a temporary colostomy . by contrast with
the troublesome symptoms reported in such patients in the literature , the only presenting complaint of our patient was protrusion of foreign material from the rectum .
in conclusion , mesh migration is a serious complication after sacral colpopexy . sometimes surgical resection of migrated mesh with laparotomy can be difficult due to dense adhesions .
scu was responsible for writing , conception and design of the study ; ob contributed toward analysis and interpretation of data ; nas , oa , aa- performed acquisition of data ; bk drafted the manuscript .
 introductionpelvic organ prolapse ( pop ) is a common gynecological problem . 
 repair with synthetic materials such as prolene mesh has become a popular approach in prolapsus surgery . 
 migration of synthetic materials can cause serious complications.presentation of casea 69-year - old woman was admitted to the hospital with a complaint of sensation of fullness and a feeling of a foreign material protruding during defecation . 
 the patient underwent exploratory laparotomy . 
 prolene mesh was detected in sacral region but resection of the mesh could not be conducted because of dense adhesions causing frozen pelvis . 
 the migrated prolene mesh was resected transanally.discussiongenital prolapse or genital hernia is described as the protrusion of pelvic organs along the vagina . 
 it is one of the common gynecological conditions that affect the quality of life in women . 
 mesh migration is a well - known clinical pathology.conclusionmesh migration is a serious complication after sacral colpopexy . 
 surgical resection of migrated mesh can be difficult due to dense adhesions . 