Risk of mesh erosion after abdominal sacral colpoperineopexy with concomitant hysterectomy.
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.


METHODS
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 chi(2) 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.


CONCLUSIONS
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.
Nosti
Patrick A
PA
Department of Obstetrics and Gynecology, Indiana University, Indianapolis, IN, USA.
Lowman
Joye K
JK
Zollinger
Terrell W
TW
Hale
Douglass S
DS
Woodman
Patrick J
PJ
D016022:Case-Control Studies; D004868:Equipment Failure; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007044:Hysterectomy; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011126:Polypropylenes; D012189:Retrospective Studies; D012307:Risk Factors; D013526:Surgical Mesh
D011126:Polypropylenes