Exploring Predictors of Mesh Exposure After Vaginal Prolapse Repair

2013 ◽  
Vol 19 (4) ◽  
pp. 206-209 ◽  
Author(s):  
Larry T. Sirls ◽  
Gregory P. McLennan ◽  
Kim A. Killinger ◽  
Judith A. Boura ◽  
Melissa Fischer ◽  
...  
Keyword(s):  
Vaginal Prolapse ◽  
Mesh Exposure ◽  
Prolapse Repair

Managing mesh exposure following vaginal prolapse repair: a decision analysis comparing conservative versus surgical treatment

2012 ◽  
Vol 24 (1) ◽  
pp. 119-125 ◽  
Author(s):  
Laura C. Skoczylas ◽  
Jonathan P. Shepherd ◽  
Kenneth J. Smith ◽  
Jerry L. Lowder
Keyword(s):  
Surgical Treatment ◽  
Decision Analysis ◽  
Vaginal Prolapse ◽  
Mesh Exposure ◽  
Prolapse Repair

Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors

2005 ◽  
Vol 17 (4) ◽  
pp. 315-320 ◽  
Author(s):  
Pierre Collinet ◽  
Franck Belot ◽  
Philippe Debodinance ◽  
Edouard Ha Duc ◽  
Jean-Philippe Lucot ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Transvaginal Mesh ◽  
Mesh Exposure ◽  
Prolapse Repair ◽  
Pelvic Organ Prolapse Repair ◽  
Mesh Technique

Vaginal Prolapse Repair

2012 ◽  
Vol 39 (3) ◽  
pp. 325-333 ◽  
Author(s):  
Vincent Lucente ◽  
Miles Murphy ◽  
Cristina Saiz
Keyword(s):  
Vaginal Prolapse ◽  
Prolapse Repair

scholarly journals Outcomes following vaginal prolapse repair and mid urethral sling (OPUS) trial—design and methods

2009 ◽  
Vol 6 (2) ◽  
pp. 162-171 ◽  
Author(s):  
John Wei ◽  
Ingrid Nygaard ◽  
Holly Richter ◽  
Morton Brown ◽  
Matthew Barber ◽  
...  
Keyword(s):  
Trial Design ◽  
Vaginal Prolapse ◽  
Prolapse Repair ◽  
Design And Methods

The use of mesh in vaginal prolapse repair: do the benefits justify the risks?

2010 ◽  
Vol 20 (4) ◽  
pp. 275-279 ◽  
Author(s):  
Shelby Morrisroe ◽  
Una Lee ◽  
Shlomo Raz
Keyword(s):  
Vaginal Prolapse ◽  
Prolapse Repair

scholarly journals Mesh Exposure and Associated Risk Factors in Women Undergoing Transvaginal Prolapse Repair with Mesh

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Elizabeth A. Frankman ◽  
Marianna Alperin ◽  
Gary Sutkin ◽  
Leslie Meyn ◽  
Halina M. Zyczynski
Keyword(s):  
Risk Factors ◽  
Retrospective Chart Review ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Repair System ◽  
Mesh Exposure ◽  
Prolapse Repair ◽  
Increased Risk ◽  
Independent Risk Factors ◽  
Associated Risk Factors

Objective. To determine frequency, rate, and risk factors associated with mesh exposure in women undergoing transvaginal prolapse repair with polypropylene mesh.Methods. Retrospective chart review was performed for all women who underwent Prolift Pelvic Floor Repair System (Gynecare, Somerville, NJ) between September 2005 and September 2008. Multivariable logistic regression was performed to identify risk factors for mesh exposure.Results. 201 women underwent Prolift. Mesh exposure occurred in 12% (24/201). Median time to mesh exposure was 62 days (range: 10–372). When mesh was placed in the anterior compartment, the frequency of mesh exposure was higher than that when mesh was placed in the posterior compartment (8.7% versus 2.9%,P=0.04). Independent risk factors for mesh exposure were diabetes (AOR = 7.7, 95% CI 1.6–37.6;P=0.01) and surgeon (AOR = 7.3, 95% CI 1.9–28.6;P=0.004).Conclusion. Women with diabetes have a 7-fold increased risk for mesh exposure after transvaginal prolapse repair using Prolift. The variable rate of mesh exposure amongst surgeons may be related to technique. The anterior vaginal wall may be at higher risk of mesh exposure as compared to the posterior vaginal wall.

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