Long-term pelvic organ prolapse recurrence and mesh exposure following sacrocolpopexy
Abstract
Introduction and hypothesis Large, long-term studies are needed to compare pelvic organ prolapse (POP) recurrence and mesh exposure following all modes of sacrocolpopexy (open, robotic, and laparoscopic). We hypothesized that the prevalence of recurrent POP and mesh exposure does not differ between modes of sacrocolpopexy.Methods This is a retrospective cohort study with a cross-sectional, prospective survey. Participants were surveyed regarding complications, retreatments, and symptoms following sacrocolpopexy. Baseline characteristics, POP recurrence, mesh exposure, and survey responses were compared.Results A total of 709 participants met the criteria. Median time from sacrocolpopexy to last follow-up for all participants was 0.5 years (2 days to 13.4 years). 15.0% experienced recurrent stage 2 or greater POP or underwent retreatment (open 11.7% [95% CI 7.8-17.2%]; robotic 21.1% [95% CI 15.6-27.9%]; laparoscopic 13.8% [95% CI 10.6-17.9%]; p = 0.03). After adjusting for baseline differences there was no significant difference among groups (p = 0.30). 5.3% experienced mesh and/or suture exposure (mesh n = 19, suture n = 10, mesh and suture n = 8) with no significant difference among groups (open 7.7% [95% CI 4.6-12.5%]; robotic 3.6% [95% CI 1.7-7.6%]; laparoscopic 4.9% [95% CI 3.1-7.7%]; p = 0.20). Median time from sacrocolpopexy to survey completion was 6.5 (1.6-13.4) years. 9.2% reported evaluation or treatment for recurrent POP (open 6.3% [95% CI 2.1-16.8%]; robotic 12.5% [95% CI 6.9-21.5%]; laparoscopic 8.5% [5.1-13.8%]; p = 0.44). 6.9% reported evaluation or treatment for mesh exposure (open 6.0% [95% CI 2.1-16.2%]; robotic 3.9% [95% CI 1.3-10.7%]; laparoscopic 8.6% [5.2-13.9%]; p = 0.38).Conclusions Objective and patient-reported long-term prevalence of POP recurrence and mesh exposure are low following all modes of sacrocolpopexy.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The mesh exposure rate in this study was higher than in previous studies.
“Another point to note is that the mesh exposure rate in our study was higher than in previous studies [10, 22, 23].”
From Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study (2026) · cites this paper as [23]
Cites
Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2008.08.010 · Cited by 51,384 · see citing works
Surgical management of pelvic organ prolapse in women
Maher, C., Feiner, B., Baeßler, K., & Glazener, C. M. A. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004014.pub4 · Cited by 1,120 · see citing works
Long-term Outcomes Following Abdominal Sacrocolpopexy for Pelvic Organ Prolapse
Nygaard, I., Brubaker, L., Zyczynski, H. M., Cundiff, G., Richter, H., Gantz, M., Fine, P., Menefee, S., Ridgeway, B., Visco, A., et al. (2013) · JAMA · doi:10.1001/jama.2013.4919 · Cited by 563 · see citing works
Laparoscopic Compared With Robotic Sacrocolpopexy for Vaginal Prolapse
Paraiso, M. F. R., Jelovsek, J. E., Frick, A. C., Chen, C. C. G., & Barber, M. D. (2011) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e318231537c · Cited by 417 · see citing works
Self-citationPredicting the number of women who will undergo incontinence and prolapse surgery, 2010 to 2050
Wu, J. M., Kawasaki, A., Hundley, A. F., Dieter, A. A., Myers, E. R., & Sung, V. W. (2011) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.03.046 · Cited by 350 · see citing works
Robotic Compared With Laparoscopic Sacrocolpopexy
Anger, J. T., Mueller, E. R., Tarnay, C. M., Smith, B. M., Stroupe, K. T., Rosenman, A., Brubaker, L. T., Bresee, C. J., & Kenton, K. S. (2013) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000006 · Cited by 260 · see citing works
Two-Year Outcomes After Sacrocolpopexy With and Without Burch to Prevent Stress Urinary Incontinence
Brubaker, L. T., Nygaard, I. E., Richter, H. E., Visco, A. G., Weber, A. M., Cundiff, G. W., Fine, P. M., Ghetti, C. C., & Brown, M. B. (2008) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181778d2a · Cited by 245 · see citing works
Abbott, S., Unger, C. A., Evans, J. M., Jallad, K., Mishra, K., Karram, M. M., Iglesia, C. B., Rardin, C. R., & Barber, M. D. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.10.012 · Cited by 144 · see citing works
Perioperative adverse events after minimally invasive abdominal sacrocolpopexy
Unger, C. A., Paraiso, M. F. R., Jelovsek, J. E., Barber, M. D., & Ridgeway, B. (2014) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.07.054 · Cited by 104 · see citing works
Self-citationMesh-related complications of laparoscopic sacrocolpopexy
Baines, G., Price, N., Jefferis, H., Cartwright, R., & Jackson, S. R. (2019) · International Urogynecology Journal · doi:10.1007/s00192-019-03952-7 · Cited by 61 · see citing works
van Zanten, F., van Iersel, J. J., Paulides, T., Verheijen, P. M., Broeders, I. A. M. J., Consten, E. C. J., Lenters, E., & Koops, S. E. S. (2019) · International Urogynecology Journal · doi:10.1007/s00192-019-03990-1 · Cited by 33 · see citing works
Sacral colpopexy: long-term mesh complications requiring reoperation(s)
Arsène, E., Giraudet, G., Lucot, J.-P., Rubod, C., & Cosson, M. (2014) · International Urogynecology Journal · doi:10.1007/s00192-014-2514-7 · Cited by 32 · see citing works
Symptom Relief and Retreatment After Vaginal, Open, or Robotic Surgery for Apical Vaginal Prolapse
Anand, M., Weaver, A. L., Fruth, K. M., Trabuco, E. C., & Gebhart, J. B. (2017) · Urogynecology · doi:10.1097/spv.0000000000000389 · Cited by 18 · see citing works
Orhan, A., Özerkan, K., Vuruşkan, H., Ocakoğlu, G., Kasapoğlu, I., Kosan, B., & Uncu, G. (2019) · International Urogynecology Journal · doi:10.1007/s00192-018-03858-w · Cited by 18 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Mesh exposure following minimally invasive sacrocolpopexy: a narrative review
Deblaere, S., Hauspy, J., & Hansen, K. (2022) · International Urogynecology Journal · doi:10.1007/s00192-021-04998-2 · Cited by 28 · see citing works
Alsahabi, J. A., Alsary, S., & Abolfotouh, M. A. (2023) · International Journal of Women's Health · doi:10.2147/ijwh.s413729 · Cited by 13 · see citing works
Yin, R., Zhang, Y., Xiao, Y., Chen, J., & Zhu, L. (2026) · International Urogynecology Journal · doi:10.1007/s00192-026-06554-2 · Cited by 1 · see citing works
“Another point to note is that the mesh exposure rate in our study was higher than in previous studies [10, 22, 23].”
- Authors
- Thomas, T. N., Davidson, E. R. W., Lampert, E. J., Paraiso, M. F. R., & Ferrando, C. A.
- Affiliations
- Cleveland Clinic (US)
- Corresponding author
- Thomas, Tonya N.
- Venue
- International Urogynecology Journal
- Published
- 2020-04-06
- Volume
- 31
- Issue
- 9
- Pages
- 1763-1770
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W3014208290
- Cited by
- 31
- References
- 14
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 1
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Keywords
- pelvic organ prolapse, sacrocolpopexy, prolapse recurrence, mesh exposure, suture exposure, robotic sacrocolpopexy, laparoscopic sacrocolpopexy, surgical technique comparison, long-term outcomes, pelvic floor reconstruction, retreatment, postoperative complications, patient-reported outcomes, quality of life, sexual dysfunction
- MeSH terms
- Cross-Sectional Studies, Female, Humans, Laparoscopy, Prospective Studies, Retrospective Studies, Gynecologic Surgical Procedures, Surgical Mesh, Treatment Outcome, Pelvic Organ Prolapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
