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Risk evaluation of smoking and age on the occurrence of postoperative erosions after transvaginal mesh repair for pelvic organ prolapses

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Abstract

This study evaluated the influence of age and smoking on the occurrence of vaginal erosions after transvaginal mesh repair of pelvic organ prolapses. We recruited all patients that underwent mesh correction of prolapses and excluded those with stress urinary incontinence, ongoing clinical infections, with a complete antibiotic course in the last 6 months, and with systemic diseases affecting tissue oxygenation. We enrolled 325 patients. Postoperative erosions were present in 6%. Age conferred a 1.6-fold increase in the risk to develop erosions while smoking a threefold increase. Patients with deep erosions had the highest values of pack years, and 6.85 pack years conferred a risk similar to advanced age. Age and smoking are important factors also after pelvic organ prolapse surgery. Our data could be used to stratify patients according to their estimated risk and to dedicate them to specific cares for prevention.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University of Tor Vergata in Rome, Rome, Italy

    Francesco Araco, Davide De Vita & Emilio Piccione

  2. Department of General Surgery, University of Tor Vergata in Rome, via U. Maddalena 40/a, 00043, Ciampino, Rome, Italy

    Gianpiero Gravante

  3. Department of Human Physiology, Laboratory of Biometry, University of Tor Vergata in Rome, Rome, Italy

    Roberto Sorge

Authors
  1. Francesco Araco
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  2. Gianpiero Gravante
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  3. Roberto Sorge
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  4. Davide De Vita
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  5. Emilio Piccione
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Correspondence to Gianpiero Gravante.

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The authors did not receive any sources of financial support for the study, including provision of supplies or services from a commercial organization.

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Araco, F., Gravante, G., Sorge, R. et al. Risk evaluation of smoking and age on the occurrence of postoperative erosions after transvaginal mesh repair for pelvic organ prolapses. Int Urogynecol J 19, 473–479 (2008). https://doi.org/10.1007/s00192-007-0476-8

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  • DOI: https://doi.org/10.1007/s00192-007-0476-8

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