Peer-reviewed veterinary case report
Risk of mesh exposure after laparoscopic sacrocolpopexy
By Yin R et al.·2026·Department of Obstetrics and Gynecology, China·View original on Europe PMC →
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Original publication title: Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study.
Plain-English summary
This study looked at the risks of mesh exposure after a type of surgery called laparoscopic sacrocolpopexy, which is used to treat pelvic organ prolapse. It compared two groups of women: those who had their uterus removed during the surgery and those who kept their uterus. Out of 198 patients, the group that had a hysterectomy had a higher rate of mesh exposure, with about 16% affected compared to just 3.4% in the uterus-preserving group. However, both groups had similar success rates in terms of overall improvement and symptom relief after the surgery. In summary, while removing the uterus during the procedure increased the risk of mesh exposure, the overall success of the surgery was comparable between the two groups.
Abstract
<h4>Introduction and hypothesis</h4>Although the role of uterine preservation during open sacrocolpopexy was well-explored, data regarding laparoscopic sacrocolpopexy (LSC) are controversial. This study was aimed at comparing the risk of mesh exposure between LSC with total hysterectomy and the uterine-preserving approach.<h4>Methods</h4>This retrospective cohort study included 198 patients who underwent LSC for pelvic organ prolapse. Based on surgical approach, patients were divided into two groups: those with concomitant total hysterectomy (n = 169) and those who underwent uterus-preserving LSC (n = 29). The primary outcome was mesh exposure. A logistic regression model was employed to calculate odd ratios (OR) and 95% confidence interval (CI) while adjusting potential confounding factors. Secondary outcomes included the composite success, anatomical outcomes, and self-reported symptom improvement.<h4>Results</h4>The median follow-up time of the whole cohort was 32 months. The incidence of mesh exposure was higher in the hysterectomy group compared with the uterine preservation group (27 out of 169, 16.0% vs 1 out of 29, 3.4%, p = 0.13). After controlling confounding factors, concomitant hysterectomy was associated with a nearly tenfold increased risk of mesh exposure (adjusted OR, 9.9; 95% CI, 1.5 to 199.0). There was no statistically significant difference in the composite success endpoint between the two groups (107 out of 131, 81.7% vs 21 out of 25, 84.0%, p = 0.99).<h4>Conclusions</h4>Concomitant hysterectomy during LSC was associated with increased risk of mesh exposure, and the composite success rates of the two groups were similar.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41843096