Risk factors for mesh/suture erosion following sacral colpopexy.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Cundiff, GW; Varner, E; Visco, AG; Zyczynski, HM; Nager, CW; Norton, PA; Schaffer, J; Brown, MB; Brubaker, L; Pelvic Floor Disorders Network,

Published Date

  • December 2008

Published In

Volume / Issue

  • 199 / 6

Start / End Page

  • 688.e1 - 688.e5

PubMed ID

  • 18976976

Pubmed Central ID

  • 18976976

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2008.07.029

Language

  • eng

Conference Location

  • United States