Ureter stricture after the reconstruction of the anterior pelvic diaphragm (a clinical case)

Introduction. Transvaginal mesh fixed to the obturator complex and sacrospinal ligaments is an effective method of treatment for anterior-apical genital prolapse. However, this surgery is associated with the risk of such complications, as vaginal erosion, chronic pain syndrome, dyspareunia and ureter damage (rare). Aim. To demonstrate a clinically rare complication, i.e., ureter stricture in a patient with the reconstruction of the anterior area of the pelvic diaphragm using a polypropylene mesh graft with sacrospinal fixation. Materials and methods. A clinical case of a 69-year-old woman with the stricture of the lower third of the ureter was described. The complication developed on day 11 after the surgery for genital prolapse involving the reconstruction of the anterior area of the pelvic diaphragm with a polypropylene mesh graft with sacrospinal fixation. Results. The patient underwent surgical treatment that included ureteroscopy endoureterotomy and stenting of the left ureter...