6 Committee comments

6 Committee comments

6.1 Concomitant total hysterectomy with sacrocolpopexy is associated with a higher risk of mesh erosion when compared with concomitant subtotal hysterectomy with sacrocolpopexy. This may be because of the closeness of the mesh to a fresh suture line.

6.2 Because of an increased risk of mesh erosion, sacrocolpopexy with concomitant hysterectomy is now used less commonly and a 2‑stage procedure (hysterectomy followed by sacrocolpopexy at a future date) is preferred.

6.3 There appears to be under-reporting of complications of the procedure to the Medicines and Healthcare products Regulatory Agency.

6.4 Registry data collection has been disappointing.

6.5 There is a subspecialty training programme in urogynaecology with a General Medical Council approved curriculum for clinicians who wish to do this procedure, which incorporates laparoscopic urogynaecology training.

6.6 Different mesh materials are used in this procedure.

6.7 Patient commentaries supported use of the procedure.

  • National Institute for Health and Care Excellence (NICE)