Risk Factors for Mesh/suture Erosion Following Sacral Colpopexy

Overview

Journal Am J Obstet Gynecol

Publisher Elsevier

Specialty Gynecology & Obstetrics

Date 2008 Nov 4

PMID 18976976

Citations 63

Authors

Geoffrey W Cundiff

Edward Varner

Anthony G Visco

Halina M Zyczynski

Charles W Nager

Peggy A Norton

Joseph Schaffer

Morton B Brown

Linda Brubaker

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study was to identify risks for mesh/suture erosions following abdominal sacral colpopexy (ASC).

Study Design: We analyzed demographic, perioperative variables, and erosion status in 322 participants in the Colpopexy and Urinary Reduction Efforts study 2 years after sacral colpopexy.

Results: The predominant graft used was synthetic mesh: woven polyester (Mersilene; Ethicon, Inc, Somerville, NJ) (42%) or polypropylene (48%). Twenty subjects (6%) experienced mesh/suture erosion. Unadjusted risk factors for mesh/suture erosion were expanded polytrafluroethylene (ePTFE) mesh (ePTFE 4/21 [19%] vs non-ePTFE 16/301 [5%]; odds ratio [OR], 4.2), concurrent hysterectomy (OR, 4.9), and current smoking (OR, 5.2). Of those with mesh erosion, most affected women (13/17) underwent at least 1 surgery for partial or total mesh removal. Two were completely resolved, 6 had persistent problems, and 5 were lost to follow-up. No resolution was documented in the 4 women who elected observation.

Conclusion: Expanded PTFE mesh should not be used for sacral colpopexy. Concurrent hysterectomy and smoking are modifiable risks for mesh/suture erosion.

Citing Articles

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Robot-Assisted Laparoscopic Sacrohysteropexy with Autologous Fascia Lata.

Hennes D, Buckley V, Rosamilia A Int Urogynecol J. 2024; .

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Management of Sacrocolpopexy Mesh Complications-A Narrative Review and Clinical Experience from a Large-Volume Center.

Shenhar C, Goldman H Int Urogynecol J. 2024; 36(2):231-241.

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Dabica A, Balint O, Olaru F, Secosan C, Balulescu L, Brasoveanu S J Pers Med. 2024; 14(6).

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