Surgical outcome of abdominal sacrocolpopexy with synthetic mesh versus abdominal sacrocolpopexy with cadaveric fascia lata

Thomas W. Gregory, Lesley N. Otto, John O. Bergstrom, Amanda L. Clark

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Nineteen women who had an abdominal sacrocolpopexy (ASC) with synthetic mesh and 18 women who had an ASC with freeze-dried, irradiated cadaveric fascia lata returned for blinded pelvic organ prolapse quantification (POPQ) examinations. The mean relative vaginal descent (delta) from perfect total vaginal length in the mesh group was 1.1 (0.3) cm, and the delta in the fascia group was 2.8 (0.8) cm (p=0.02, Mann-Whitney U). The proportion of women with "optimal" surgical outcome in the mesh group was 89% and 61% in the fascia group (p=0.06, Fischer's exact test). This study suggests that cadaveric fascia lata may not be a good choice for ASC.

Original languageEnglish (US)
Pages (from-to)369-374
Number of pages6
JournalInternational Urogynecology Journal
Volume16
Issue number5
DOIs
StatePublished - Oct 2005

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Keywords

  • Abdominal sacrocolpopexy
  • Allogeneic tissue
  • Fascia lata
  • Synthetic mesh

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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