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Am J Obstet Gynecol. 2006 May;194(5):1418-22.

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

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  • 1Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.

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.

[PubMed - indexed for MEDLINE]
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