AUGS/IUGA Scientific Meeting 2019-Best Video Abstract Presentation

Video Transcription

Video Summary

Lumbosacral osteomyelitis is a rare complication following sacral colpopexy, with symptoms that can vary and make diagnosis challenging. Imaging, such as MRI, is important but may not show changes until weeks after symptom onset. A case study is presented of a 79-year-old patient who underwent the procedure and developed symptoms of pelvic organ prolapse, leading to a diagnosis of lumbosacral osteomyelitis caused by pseudomonas. The patient underwent treatment with antibiotics and surgical excision of the mesh and sutures. MRI showed worsening of the infection, leading to further surgery and additional antibiotic treatment. The patient eventually recovered without complications. Gynecologists should be aware of the possibility of lumbosacral osteomyelitis following sacral colpopexy and consider surgical intervention alongside antibiotic therapy. Monitoring of symptoms and inflammatory markers is important for assessing treatment response.

Asset Caption

Akira Gillingham

Keywords

Lumbosacral osteomyelitis

sacral colpopexy

diagnosis challenges

pelvic organ prolapse

pseudomonas