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Incidence and management of abdominal sacrocolpopexy mesh erosions

J Sean Begley1, Susan P Kupferman, Dimitri D Kuznetsov

  • 1Section of Gynecology and Gynecologic Oncology, Department of Surgery, Section of Urology, Virginia Mason Medical Center, Seattle, WA 98111, USA.

American Journal of Obstetrics and Gynecology
|June 23, 2005
PubMed
Abstract

Insights

Mesh erosion after abdominal sacrocolpopexy occurred in 7.6% of patients. Gore-Tex and silicone-coated mesh had higher erosion rates than polypropylene, requiring different surgical interventions for resolution.

Area of Science:

  • Urogynecology
  • Pelvic reconstructive surgery
  • Biomaterials in surgery

Background:

  • Mesh erosion is a known complication of abdominal sacrocolpopexy.
  • Different mesh materials may have varying risks of erosion and require different management strategies.

Purpose of the Study:

  • To evaluate the incidence and management of mesh erosions following abdominal sacrocolpopexy.
  • To compare erosion rates among different types of mesh grafts used in the procedure.

Main Methods:

  • Retrospective chart review of 92 patients who underwent abdominal sacrocolpopexy between 1997 and 2003.
  • Identification of patients with mesh erosion and analysis of graft type and treatment required.
  • Statistical analysis using chi-squared and Fisher exact tests.

Main Results:

  • Mesh erosion occurred in 7.6% of patients (7/92).
  • Higher erosion rates were observed with Gore-Tex (9%) and silicone-coated mesh (19%) compared to polypropylene mesh (0%).
  • Partial excision resolved Gore-Tex erosions, while complete removal was needed for silicone-coated mesh erosions.

Conclusions:

  • Gore-Tex and silicone-coated mesh exhibit a high rate of erosion in abdominal sacrocolpopexy.
  • Management of mesh erosion differs based on the material; partial excision for Gore-Tex and complete removal for silicone-coated mesh.

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