Australian and New Zealand Journal of Obstetrics and GynaecologyVolume 49, Issue 3 p. 335-336 Obturator abscess with spread to the thigh after three years from a transobturator procedure Francesco ARACO, Francesco ARACO Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this authorGianpiero GRAVANTE, Gianpiero GRAVANTE Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester, Leicester, UK,Search for more papers by this authorDavide DE VITA, Davide DE VITA Section of Obstetrics and Gynecology, S.Francesco D’Assisi, Oliveto Citra, SA, Italy, andSearch for more papers by this authorDaniele KONDA, Daniele KONDA Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, ‘Tor Vergata’ University Hospital, Rome, ItalySearch for more papers by this authorPasquale ROMBOLA, Pasquale ROMBOLA Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this authorPlacido ARACO, Placido ARACO Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this authorEmilio PICCIONE, Emilio PICCIONE Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this author Francesco ARACO, Francesco ARACO Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this authorGianpiero GRAVANTE, Gianpiero GRAVANTE Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester, Leicester, UK,Search for more papers by this authorDavide DE VITA, Davide DE VITA Section of Obstetrics and Gynecology, S.Francesco D’Assisi, Oliveto Citra, SA, Italy, andSearch for more papers by this authorDaniele KONDA, Daniele KONDA Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, ‘Tor Vergata’ University Hospital, Rome, ItalySearch for more papers by this authorPasquale ROMBOLA, Pasquale ROMBOLA Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this authorPlacido ARACO, Placido ARACO Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this authorEmilio PICCIONE, Emilio PICCIONE Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Rome, Italy,Search for more papers by this author First published: 15 June 2009 https://doi.org/10.1111/j.1479-828X.2009.00986.xCitations: 2 : Dr Francesco Araco, Section of Gynecology and Obstetrics, Department of Surgery, School of Medicine, ‘Tor Vergata’ University Hospital, Viale Oxford 81, 00133 Rome, Italy. Email: [email protected] DOI: 10.1111/j.1479-828X.2009.00986.x Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume49, Issue3June 2009Pages 335-336 RelatedInformation

AIMS:To describe the benefits and complications of a combined bovine/pericardium polypropylene mesh for severe vaginal wall prolapse at midterm follow up.METHODS:Retrospective analysis of patients with stages 3 and 4 pelvic prolapse undergoing cystocele repair using the combined mesh.RESULTS:Between June 2004 and April 2006 36 patients were treated. The median follow up was 35 months. Two patients experienced de novo urgency (5.6%). Resolution of prolapse was achieved in 91.7% of patients. Ten percent of those with urinary incontinence continued to suffer from incontinence after surgery. There was a significant improvement in the quality of life in cases with associated urinary incontinence, and in the sexual lives and constipation of all patients. Two cases of vaginal perforation (5.6%) and three cases of vaginal erosion (8.3%) were described.CONCLUSIONS:The use of a composite bovine pericardium/polypropylene mesh for cystocele correction is feasible and safe, yielding good results at midterm follow up.

Objective. To study the influence of body mass index (BMI), smoking, and age on the risk of vaginal erosions after mesh repair of pelvic prolapses. Design. Retrospective study. Setting. Three university and community hospitals. Population and sample. Patients that underwent mesh correction of prolapses between 2002 and 2007. Excluded were those with stress urinary incontinence, ongoing clinical infections, with a complete antibiotic course in the last six months and with systemic diseases affecting tissue oxygenation. Methods. Revision of medical notes. Main outcome measures. Risk contributions for age, smoking, and BMI on the occurrence of vaginal erosions. Results. Data were collected from 460 patients. Postoperative erosions were present in 7%. BMI greater than 30 conferred a 10.1-fold increase in the risk of developing erosions, smoking a 3.7-fold increase, and age greater than 60 years a 2.2-fold increase. A cut-off value of seven pack years was determined for smoking where the risk associated with light smokers was similar to that of non-smokers. Conclusions. BMI, smoking, and age are important risk factors for pelvic organ prolapse surgery. Our data could be used to stratify patients according to their risk so that preventative measures can be taken in high-risk patients.