INTRODUCTION AND HYPOTHESIS: Sacral colpopexy (SC) is a classic procedure used for the surgical treatment of pelvic organ prolapse.
Although the procedure boasts excellent success rates, there are risks of complications and re-operation may be required. The purpose of this study was to evaluate the extent of complications following SC, requiring re-operation(s), and to describe the re-operations performed.
METHODS: A retrospective monocentric study of patients who were operated on following a mesh complication after SC was conducted, at Lille University Hospital, between January 2007 and January 2013. Information relating to medical and surgical history, SC surgical technique, type of complication, and re-operation techniques was gathered.
RESULTS: Twenty-seven patients required surgery for complications after SC. Nineteen patients were treated for vaginal mesh exposures (VME), four for intravesical mesh (including one with VME), one for ano-rectal dyschezia, one for spondylodiscitis with a VME, one for mesh infection, and one for vaginal fistula communicating with a collection in the ischio-coccygeal muscle. The median time between the initial SC and the first re-operation was 3.9 ± 5.7 years. The median operating time was 40 ± 95 min, and the length of hospital stay was 3.0 ± 3.0 days. Ten patients needed several interventions.
CONCLUSION: This case series provides a description of surgical interventions for complications related to sacral colpopexy. These complications may be serious and occur years after the initial surgery.
Written by:
Arsene E, Giraudet G, Lucot JP, Rubod C, Cosson M. Are you the author?
Gynecology Department, Hospital Jeanne de Flandre, University Hospital of Lille, Avenue Eugène Avinée, 59037, Lille cedex, France.
Reference: Int Urogynecol J. 2014 Oct 17. Epub ahead of print.
doi: 10.1007/s00192-014-2514-7
PubMed Abstract
PMID: 25323309