Risk of mesh erosion after abdominal sacral colpoperineopexy with concomitant hysterectomy

Patrick A. Nosti, Joye K. Lowman, Terrell W. Zollinger, Douglass S. Hale, Patrick J. Woodman

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    Abstract

    Objective: The purpose of this study was to evaluate the effect of concomitant hysterectomy at the time of abdominal sacral colpoperineopexy on the risk of mesh erosion with the use of type 1 polypropylene mesh. Study Design: This was a retrospective case control study. All cases of vaginal mesh erosion (n = 31) were compared with matched control cases (n = 93) in a 3:1 ratio. Demographic data, concomitant procedures, and postoperative complications were compared between groups with the use of 2-sample Student t test and Pearson χ2 test. Results: The odds ratio of a vaginal mesh erosion was no different for those who underwent a hysterectomy at the time of abdominal sacral colpoperineopexy (odds ratio, 0.95; 95% confidence interval, 0.41-2.18; P = .899) when potential confounders were similar between groups. Conclusion: Hysterectomy at the time of abdominal sacral colpoperineopexy is not a risk factor for vaginal mesh erosion with the use of type 1 polypropylene mesh.

    Original languageEnglish (US)
    Pages (from-to)541.e1-541.e4
    JournalAmerican Journal of Obstetrics and Gynecology
    Volume201
    Issue number5
    DOIs
    StatePublished - Nov 2009

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    Keywords

    • abdominal sacral colpoperineopexy
    • hysterectomy
    • mesh erosion
    • polypropylene mesh

    ASJC Scopus subject areas

    • Obstetrics and Gynecology

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