ArticleInternational urogynecology journal2026
Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study.
Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Twelve-month pelvic pain after ovarian-preserving laparoscopic hysterectomy: Secondary analysis of a randomized trial of hyaluronic acid gel.European journal of obstetrics & gynecology and reproductive biology: X · 2026Article
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5 authors.
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Abstract
introduction and hypothesisAlthough 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.
methodsThis 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.
resultsThe 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).
conclusionsConcomitant 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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