Vaginal mesh exposure after laparoscopic sacrocervicopexy performed with permanent or absorbable sutures

We have received and read with pleasure the recent Letter to the Editor by Tsilanizara and Deffieux.1 We would like to thank the authors for their interest in our study recently published in AOGS2 and appreciate the opportunity to discuss this work. The comments of Tsilanizara and Deffieux address an important secondary endpoint of our study, specifically the rate of vaginal mesh erosion in the permanent suture group, which was 4% (three cases). We agree with authors about the importance of specifying whether these were cases of vaginal mesh or suture/knot exposure and would like to note that all three cases were mesh exposures necessitating re-operation. It was not possible to establish whether the cause of erosion was related to the mesh and/or the permanent sutures. Additional studies are necessary to inform this particular issue.