Persistent ischiorectal fistula secondary to rectal extrusion of posterior vaginal mesh: Case report.

Introduction And Hypothesis: Vaginal mesh has been used for years to try to improve the results of pelvic organ prolapse surgery, but current evidence does not confirm this improvement and instead describes serious and frequent adverse events.

Clinical Case: 64-year-old patient with rectal extrusion of posterior vaginal mesh placed 8 years earlier, and persistent left ischiorectal fistula refractory to surgery. She required 5 surgeries, carried out jointly between gynecology and general surgery, to solve, firstly, the bilateral perianal abscess secondary to extrusion of the posterior vaginal mesh into the rectum and then the persistent left ischiorectal fistula, despite the removal of the material prosthetic.

The validity of ultrasonography in predicting the outcomes of labour induction.

Purpose: To analyse the validity of ultrasonography in predicting the outcomes of labour induction, compared with Bishop score (BS), and to design a predictive model including ultrasound and clinical variables.

Methods: In this prospective, observational study of 151 women who underwent induction of labour, an endovaginal ultrasound was performed to determine cervical length (CL), the wedging pattern and the presence of dilatation and funnel. Foetal head-perineum distance (FHPD) was measured by transperineal ultrasound.