{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T18:54:25Z","timestamp":1769540065058,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Vaginal pessaries are a widely used treatment for pelvic organ prolapse. They are considered minimally invasive, effective, and easy. However, pessary\u2010related adverse events are sometimes underestimated. Here, we report on an important case of vaginal mesh exposure as a pessary complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A patient underwent transvaginal mesh surgery for pelvic organ prolapse, and after 10\u2009years, had a mild recurrence. Gynecologists recommended that she use a pessary. After 3\u2009years, she had vaginal bleeding and malodor. Gynecologists detected mesh exposure, but they downplayed the finding and continued pessary use. Two years after that, she came to our hospital and underwent mesh excision surgery. She had an uneventful postoperative course with no complications in the 2\u2009years after the surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We propose that pessary use after mesh surgery can cause mesh exposure, which must not be ignored because it may lead to mesh infection and intra\u2010abdominal abscess.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70135","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T17:26:37Z","timestamp":1767806797000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vaginal Mesh Exposure Following Pessary Use After Transvaginal Mesh Surgery: A Case Report"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1291-8205","authenticated-orcid":false,"given":"Yukiko","family":"Tsunoda","sequence":"first","affiliation":[{"name":"Department of Female Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumiko","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Female Urology Meitetsu Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidemori","family":"Araki","sequence":"additional","affiliation":[{"name":"Department of Urology Meitetsu Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Urology Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Narushima","sequence":"additional","affiliation":[{"name":"Department of Female Urology Meitetsu Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2020.11.013"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bco2.174"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1423-2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/2090598X.2019.1589787"},{"key":"e_1_2_11_6_1","article-title":"Transvaginal Mesh or Grafts Compared With Native Tissue Repair for Vaginal Prolapse","volume":"2","author":"Maher C.","year":"2016","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2010.02469.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13654"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.13984"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14343"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14425"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15630"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010010\u20101265\u20103"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010019\u201003952\u20107"},{"key":"e_1_2_11_15_1","unstructured":"\u201cUK Clinical Guideline for Best Practice in the Use of Vaginal Pessaries for Pelvic Organ Prolapse \u201d(2021)."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000001293"}],"container-title":["IJU Case 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