As reported to coloplast, though not verified, legal representative stated the patient with this device experienced dyspareunia, pain, felt erosion laterally, patient's partner felt sharp foreign body during intercourse, dysuria, small amounts of yellow discharge, vaginal tenderness, vaginal discomfort, mild spotting, vulvodynia, urinary urgency, urge incontinence, urinary frequency, stress urinary incontinence confirmed with urodynamics, vaginitis, menorrhagia, intrinsic sphincter deficiency.Patient had implantation of an unknown device under general anesthesia.Patient underwent a total laparoscopic hysterectomy for markedly enlarged fibroid uterus, bilateral salpingectomy, left ovarian cystectomy, uterosacral ligament vault colpopexy, ureterolysis (unknown device removal), device urethropexy, and cystoscopy under general anesthesia.Intraoperative findings noted the previously placed device was very distally displaced and banded, and an estimated blood loss of 150 ml.Pathology report for previous unknown device noted explantation of vaginal wall device, fibrosis and foreign body type reaction to birefringent foreign debris, gross examination of foreign body, vaginal wall device was sent in formalin and noted as a mesh-like white synthetic foreign object with attached membranous pink tissues, measuring 1.6 x 0.6 x 0.1 cm.Patient had an emergency department visit for postoperative fever and noted the postoperative fever developed 1 day after discharge from the hospital.Urine culture was 20k strep.Patient had an emergency department visit for a urinary tract infection with e.Coli.Patient had a retroperitoneal ultrasound performed for history of urinary tract infections; results were negative.A physical exam found tenderness directly under the urethra and clear point tenderness at the site of device erosion into the vagina.Patient had partial device explantation for midurethral exposed device under general anesthesia.The pathology report noted a diagnosis of the vaginal wall excisional biopsy was benign non-keratinizing squamous mucosa with chronic inflammation.Labeled exposure of vaginal wall device and epithelial tissue measuring 2.1 x 0.7 cm and also multiple device-appearing material measuring 2.0 x 0.6 cm.Patient had a urine analysis positive for leukocytes with few bacteria noted on micro exam.A vaginal swab was positive for moderate beta hemolytic streptococcus group b.An exam noted minimal tenderness and clear 1-2 cm erosion laterally on the left with tenderness.Patient had a partial explantation of exposed device under general anesthesia.Lateral device erosion was located on the left anterior fornix.Pathology reported noted vaginal mucosa with chronic inflammation, granulation tissue and reactive changes in the squamous mucosa, formalin labeled vaginal device in four tan-brown tissue fragments measuring 0.4 x 0.3 x 0.2 cm in aggregate and a device measuring 1.0 x 1.0 x 0.1 cm.
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