The rate of mesh prolapse procedures has been increasing, and the vast majority of these procedures are vaginal mesh surgeries, researchers reported online ahead of print in the American Journal of Obstetrics & Gynecology.
In an analysis of claims data from across the United States for 2005-2010, Michele Jonsson Funk, PhD, of the University of North Carolina in Chapel Hill, and collaborators identified 60,152 mesh prolapse procedures during 78.5 million person-years of observation, for a rate of 76 per 100,000 person-years.
Overall, 74.9% of the procedures were vaginal mesh surgeries, for an overall rate of 56.9 per 100,000 person-years. Rates of abdominal sacrocolpopexy (ASC) and minimally invasive sacrocolpopexy (MISC) were 12.0 and 9.5 per 100,000 person-years, respectively. From 2005-2007, ASC was more common than MISC; since 2007, however, the rate of MISC has increased and the rate of ASC has decreased, the investigators found. Vaginal mesh procedures were considerably more common than sacrocolpopexies at all ages. ASC was more common than MISC in women older than 50 years.