Vaginal Hysterectomy at the Time of Transvaginal Mesh Placement

Abstract

: When incisions for mesh placement are kept separate from the vaginal cuff, transvaginal mesh reconstruction can be safely performed at the time of hysterectomy.

Natural orifice vaginal sacrocolpopexy (NOVaS): a cadaver feasibility study

“…The odds ratio of a vaginal mesh erosion was no different for those who underwent a hysterectomy at the time of abdominal sacral colpoperineopexy (odds ratio, 0.95; 95% confidence interval, 0.41-2.18; p=.899). Additionally, a recent report by Murphy et al (10) reported on placement of vaginal mesh at the time of vaginal hysterectomy. They retrospectively looked at 40 women with a median follow-up of 12 months and found only a 2.5% erosion rate, which is very comparable to that seen with an ASC.…”