Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomy

Jennifer M. Wu, Ellen C. Wells, Andrew F. Hundley, Anna Marie Connolly, Kathryn S. Williams, Anthony G. Visco

Research output: Contribution to journalArticlepeer-review

86 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1418-1422
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume194
Issue number5
DOIs
StatePublished - May 2006

Keywords

  • Abdominal sacral colpopexy
  • Mesh erosion
  • Pelvic organ prolapse

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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