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Mesh erosion after abdominal sacrocolpopexy
1Division of Urogynecology and Reconstructive Pelvic Surgery, Good Samaritan Hospital, University of Cincinnati School of Medicine, Ohio 45220, USA. neerajk@aol.com
Obstetrics and Gynecology
|December 5, 1998
Summary
Suture erosion after abdominal sacrocolpopexy is rare and manageable with conservative treatment. Mesh erosion, however, requires surgical intervention, often transvaginal removal, due to persistent symptoms like bleeding or discharge.
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
Background:
- Abdominal sacrocolpopexy is a surgical procedure for pelvic organ prolapse.
- Complications such as suture or mesh erosion can occur post-operatively.
Purpose of the Study:
- To evaluate the incidence and management of suture and mesh erosion following abdominal sacrocolpopexy.
Main Methods:
- Retrospective chart review of patients undergoing sacrocolpopexy over 8 years.
- Analysis of demographic data, operative details, and patient outcomes.
- Review of treatment strategies for suture and mesh erosion.
Main Results:
- Seven out of 57 patients (12%) experienced erosion (2 suture, 5 mesh).
- Mesh erosion presented with vaginal bleeding/discharge, while suture erosion was asymptomatic.
- Suture erosion managed conservatively; mesh erosion required transvaginal mesh removal.
Conclusions:
- Mesh erosion is a potential long-term complication of abdominal sacrocolpopexy, often presenting with vaginal bleeding or discharge.
- Conservative management is effective for suture erosion.
- Transvaginal mesh removal is an effective treatment for mesh erosion unresponsive to conservative measures.