Does Mesh Weight Affect Time to Failure After Robotic-Assisted Laparoscopic Sacrocolpopexy?
Abstract
Objective: The objective of this study was to compare time to anatomic failure after robotic sacrocolpopexy with use of ultralightweight versus heavier weight mesh types. Methods: We performed a retrospective cohort study of women who underwent robotic sacrocolpopexy, from January 2012 to September 2016. We compared (1) sacrocolpopexy with ultralightweight mesh (≤20 g/m 2 ) versus (2) sacrocolpopexy with heavier weight mesh (≤35 g/m 2 ). Our primary outcome was time to anatomic failure, defined as recurrent prolapse beyond the hymen, or retreatment for prolapse with surgery or pessary. Secondary outcomes were compartment of failure and mesh exposure. Cox proportional hazards modeling was used to estimate the hazard of failure based on mesh type. Results: Of 461 patients, 248 (53.8%) underwent sacrocolpopexy with ultralightweight mesh and 213 (46.2%) with heavier weight mesh. Failures occurred in 37 women, with 21 in the ultralightweight mesh group and 16 in the heavier weight mesh group. Time to failure was statistically significant between groups ( P = 0.03). Ultralightweight mesh had twice the hazard of failure within 3 years compared with heavier weight mesh (hazard ratio, 2.15; 95% confidence interval, 1.10–4.21; P = 0.03). Among failures, use of ultralightweight mesh was associated with almost 5 times the hazard of anterior compartment failure (hazard ratio, 4.46; 95% confidence interval, 1.39–14.27; P = 0.01). There was no difference in time to posterior failure. Of 17 mesh exposures, there were fewer in the ultralightweight mesh group, although this group was followed for less time (1.6% ultralightweight vs 6.0% heavier weight, P = 0.01). Conclusions: Women receiving ultralightweight mesh are more likely to experience earlier anatomic failure in the anterior compartment.
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Mesh weight is a crucial parameter for mesh exposure, and ultra-lightweight mesh is associated with less mesh exposure.
“In addition, the mesh weight has been identified as a crucial parameter. Results from a retrospective cohort study showed less mesh exposure when using the ultra-lightweight mesh [25].”
From Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study (2026) · cites this paper as [25]
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“Results from a retrospective cohort study showed less mesh exposure when using the ultra-lightweight mesh [25].”
Biomaterials for Prolapse Repair
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- Authors
- Askew, A. L., Visco, A. G., Weidner, A. C., Truong, T., Siddiqui, N. Y., & Bradley, M. S.
- Affiliations
- Duke Medical Center (US)
- Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology
- Duke University (US)
- University of Pittsburgh (US)
- Corresponding author
- Askew, Amy L.
- ORCID
- Venue
- Female Pelvic Medicine & Reconstructive Surgery
- Published
- 2018-10-15
- Volume
- 26
- Issue
- 9
- Pages
- 536-540
- ISSN
- 2151-8378 (ISSN-L)
- 2154-4212
- OpenAlex
- W2897286910
- Cited by
- 20
- References
- 23
- Citations by year
- 2026: 2 · 2024: 3 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 2
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Urogynecology (publishedVersion)
- PubMed (publishedVersion)
- 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 weight, pelvic organ prolapse, prolapse recurrence, mesh exposure
- MeSH terms
- Aged, Equipment Failure, Female, Humans, Middle Aged, Recurrence, Retrospective Studies, Surgical Mesh, Time Factors, Kaplan-Meier Estimate, Pelvic Organ Prolapse, Robotic Surgical Procedures
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