Prevalence and risk factors for mesh erosion after laparoscopic-assisted sacrocolpopexy
Open accessAbstract
INTRODUCTION AND HYPOTHESIS: The purpose of this study is to identify risk factors for mesh erosion in women undergoing minimally invasive sacrocolpopexy (MISC). We hypothesize that erosion is higher in subjects undergoing concomitant hysterectomy. METHODS: This is a retrospective cohort study of women who underwent MISC between November 2004 and January 2009. Demographics, operative techniques, and outcomes were abstracted from medical records. Multivariable regression identified odds of erosion. RESULTS: Of 188 MISC procedures 19(10%) had erosions. Erosion was higher in those with total vaginal hysterectomy (TVH) compared to both post-hysterectomy (23% vs. 5%, p = 0.003) and supracervical hysterectomy (SCH) (23% vs. 5%, p = 0.109) groups. In multivariable regression, the odds of erosion for TVH was 5.67 (95% CI: 1.88-17.10) compared to post-hysterectomy. Smoking, the use of collagen-coated mesh, transvaginal dissection, and mesh attachment transvaginally were no longer significant in the multivariable regression model. CONCLUSION: Based on this study, surgeons should consider supracervical hysterectomy over total vaginal hysterectomy as the procedure of choice in association with MISC unless removal of the cervix is otherwise indicated.
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References 30 · Cited by 172
- Authors
- Tan-Kim, J., Menefee, S. A., Luber, K. M., Nager, C. W., & Lukacz, E. S.
- Affiliations
- University of California San Diego (US)
- Kaiser Permanente (US)
- Corresponding author
- Lukacz, Emily S.
- Venue
- International Urogynecology Journal
- Published
- 2010-09-15
- Volume
- 22
- Issue
- 2
- Pages
- 205-212
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- PMC
- PMC3025104
- OpenAlex
- W2061828743
- Cited by
- 172
- References
- 30
- Citations by year
- 2026: 1 · 2025: 12 · 2024: 7 · 2023: 4 · 2022: 14 · 2021: 19 · 2020: 11 · 2019: 9 · 2018: 4 · 2017: 13 · 2016: 13 · 2015: 12 · 2014: 17 · 2013: 18 · 2012: 13
- FWCI
- 8.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- International Urogynecology Journal (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Intuitive Surgical
- University of California, San Diego
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- mesh erosion, sacrocolpopexy, total vaginal hysterectomy, subtotal hysterectomy, risk factors, pelvic organ prolapse, smoking
- MeSH terms
- Aged, Female, Foreign Bodies, Humans, Hysterectomy, Vaginal, Middle Aged, Laparoscopy, Retrospective Studies, Risk Factors, Surgical Mesh, Vagina, Prevalence, Pelvic Organ Prolapse
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