Vaginal pain caused by laparoscopic colposuspension with tacks

Background: Laparoscopic colposuspension is a popular surgical procedure fo r stress incontinence. To simplify the laparoscopic approach, many physicia ns have replaced laparoscopic suturing with mesh, secured with staples or t acks. Cases: Two women developed severe, shooting vaginal pain after laparoscopic colposuspension with mesh and tacks. The tacks could be palpated vaginally in both, reproducing the pain. Tack removal relieved their pain, but one h ad recurrent cystocele. Conclusion: Laparoscopic colposuspension with tacks might produce shooting vaginal pain, possibly unique to tacks versus staples or sutures. (Obstet G ynecol 2000;46:823-4. (C) 2000 by The American College of Obstetricians and Gynecologists.).