Securing Mesh with Delayed Absorbable Suture Does Not Increase Risk of Prolapse Recurrence After Robotic Sacral Colpopexy

Introduction and Objective: Nonabsorbable monofilament suture is traditionally used to secure vaginal mesh for robot-assisted sacral colpopexy (RASC) but can become exposed postoperatively requiring invasive removal. Polydioxanone delayed absorbable may avoid this. We sought determine the objective subjective impact of choice fixation. Materials Methods: A cohort study was undertaken using a prospective registry subjects were grouped based on type at time RASC. Apical failure defined as C point descent >2 cm, anterior compartment pelvic organ prolapse quantification (POP-Q) Ba >0, posterior Bp >0. Patient-reported outcomes included urogenital distress inventory (UDI)-6 QoL. Two-tailed t-test chi-squared analysis. Results: total 119 women underwent RASC between 2009 2016. Patients had similar preoperative characteristics (Table 1). All POP-Q, UDI-6, quality life (QoL) scores improved (Tables 1 2). noted in 0, 7 (average +1.1 cm failures), 4 (mean +1.0 cm) 16 months' follow-up. Failures much more common nonabsorbable apical compartments not significantly different groups. Nine erosions cohort, five excision clinic two operating room. Two 0 required excision. Postoperative UDI-6 QoL did vary groups (5.3 ± 4.0 vs 5.1 4.0, p = significant (NS), 2.8 2.0 2.2, NS). Table 1. Preoperative Demographics 2. Outcomes Sacral Colpopexy by Suture Type Conclusion: Securing with appear increase risk patients undergoing eliminates need postoperatively.