title: Additional surgical risk factors and patient characteristics for mesh erosion after abdominal sacrocolpopexy.
abstract: OBJECTIVE
  The aim of this study is to determine the risk factors of mesh exposures following abdominal sacral colpopexy (ASC) in which polypropylene mesh is used.
  
  
  METHODS
  This is a retrospective cohort study of patients who underwent ASC and were subsequently followed for development of mesh exposure for vaginal/vault prolapse between 2002 and 2012. Demographics and risk factors of the patients who did develop mesh exposure after ASC and the ones who did not were compared.
  
  
  RESULTS
  In 42 months of survey, 19 of the 292 patients who underwent ASC developed mesh exposure. It was found that rates of patients with stage 3-4 prolapse were significantly greater in the mesh exposure group than in the control group (P = 0.04). Rates of mesh exposure were lower in patients with previous hysterectomy (P = 0.03). Also, it was found that concomitant hysterectomy or three or more additional procedures increased the risk of mesh exposure (P = 0.03 and P = 0.02).
  
  
  CONCLUSIONS
  In abdominal sacrocolpopexy operations in which polypropylene meshes are used, stage 3 or 4 prolapse, concomitant hysterectomy and three or more additional procedures increase the risk of mesh exposure development.
authors.affiliation: Department of Obstetrics and Gynecology, Firat University Faculty of Medicine, Elazig, Turkey.
authors.forename: Alpaslan
authors.initials: A
authors.lastname: Akyol
authors.forename: Aysu
authors.initials: A
authors.lastname: Akca
authors.forename: Volkan
authors.initials: V
authors.lastname: Ulker
authors.forename: Ali
authors.initials: A
authors.lastname: Gedikbasi
authors.forename: Arzu
authors.initials: A
authors.lastname: Kublay
authors.forename: Agahan
authors.initials: A
authors.lastname: Han
authors.forename: Hasan Cemal
authors.initials: HC
authors.lastname: Ark
authors.forename: Ceyhun
authors.initials: C
authors.lastname: Numanoglu
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007044:Hysterectomy; D016015:Logistic Models; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011126:Polypropylenes; D012189:Retrospective Studies; D012307:Risk Factors; D013526:Surgical Mesh / Q000009:adverse effects*
chemical_list: D011126:Polypropylenes
keywords: abdominal sacrocolpopexy; hysterectomy; mesh exposure; pelvic organ prolapse; polypropylene mesh