Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomy.

Published

Journal Article

OBJECTIVE: The purpose of this study was to examine risk factors for mesh erosion, including concomitant hysterectomy, in abdominal sacral colpopexies. STUDY DESIGN: We conducted a retrospective cohort study of 313 women who underwent an abdominal sacral colpopexy. Data regarding patient demographics, operative techniques, length of follow-up, postoperative complications, and mesh erosion were collected. RESULTS: Of 313 subjects, 101 (32.3%) had concomitant hysterectomies and 212 (67.7%) had had previous hysterectomies. The overall rate of mesh erosion was 5.4%. In bivariate analysis, concomitant hysterectomy was not associated with erosion (6.9% vs 4.7% previous hysterectomy, P = .42); however, estrogen therapy was an effect modifier. In women on estrogen, hysterectomy (OR 4.9, CI 1.2-19.7) and anterior imbrication (OR 5.6, CI 1.1-28.6) were associated with mesh erosion. No risk factors were identified in women not on estrogen. CONCLUSION: In women on estrogen therapy, hysterectomy was associated with mesh erosion in abdominal sacral colpopexy.

Full Text

Duke Authors

Cited Authors

  • Wu, JM; Wells, EC; Hundley, AF; Connolly, A; Williams, KS; Visco, AG

Published Date

  • May 2006

Published In

Volume / Issue

  • 194 / 5

Start / End Page

  • 1418 - 1422

PubMed ID

  • 16647927

Pubmed Central ID

  • 16647927

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2006.01.051

Language

  • eng

Conference Location

  • United States