Risk factors for vaginal mesh erosion after sacrocolpopexy in Korean women
Open accessAbstract
OBJECTIVE: Although sacrocolpopexy (SCP) can provide durable apical support, the use of mesh may give rise to various complications, including vaginal mesh erosion. The aim of this study was to identify the risk factors for vaginal mesh erosion after SCP in Korean women. METHODS: This retrospective cohort study included 363 women who underwent SCP with type 1 polypropylene mesh. They were evaluated at 1, 4, and 12 months after surgery and then annually thereafter with respect to anatomy and complications. Univariate and multivariate analyses using the Cox proportional hazard model were performed to identify the risk factors for mesh erosion. RESULTS: During the median 2-year follow-up period, vaginal mesh erosion was found in 29 women (8.0%). Among them, 19 (65.5%) required surgical correction. Estrogenic status was the only independent risk factor for mesh erosion. The risk for mesh erosion was 4.5 times higher in premenopausal women than in menopausal women not on estrogen replacement therapy (ERT) (95% confidence intervals [CI] 1.9-10.9, p<0.01). Menopausal women on ERT also had an increased risk, with a statistically marginal significance (hazard ratio 2.5, 95% CI 0.9-6.6; p = 0.07). CONCLUSIONS: Premenopausal or menopausal women on ERT are at high risk for mesh erosion after SCP with type 1 polypropylene mesh, and two-thirds of mesh erosion cases require reoperation. This information should be incorporated into patient counseling and treatment decisions.
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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 [10]
The Results report an 8.0% vaginal mesh erosion rate, providing a rate from a previous study for comparison. Our copy does not give the citing study’s exposure rate, so it cannot establish that the citing study’s rate was higher. (LLM, conf=0.77)
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References 32 · Cited by 18
- Authors
- Kim, T. Y., & Jeon, M. J.
- Affiliations
- Seoul National University (KR)
- Corresponding author
- Jeon, Myung Jae
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2020-02-10
- Volume
- 15
- Issue
- 2
- Pages
- e0228566
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7010236
- OpenAlex
- W3005919661
- Cited by
- 18
- References
- 32
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 5
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- vaginal mesh erosion, sacrocolpopexy, polypropylene mesh, risk factors, estrogen replacement therapy, menopause, premenopausal women, pelvic organ prolapse, reoperation, Korean women
- MeSH terms
- Aged, Decision Making, Estrogens, Female, Follow-Up Studies, Humans, Menopause, Middle Aged, Polypropylenes, Postoperative Complications, Postoperative Period, Reoperation, Retrospective Studies, Risk Factors, Gynecologic Surgical Procedures, Surgical Mesh, Time Factors, Uterine Prolapse, Vagina, Premenopause, Pelvic Organ Prolapse, Republic of Korea
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