Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse

Patrick Dällenbach; Carol Jungo Nancoz; Isabelle Eperon; Jean-Bernard Dubuisson; Michel Boulvain

doi:10.1007/s00192-011-1483-3

Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse

Patrick Dällenbach, Carol Jungo Nancoz, Isabelle Eperon, Jean-Bernard Dubuisson, Michel Boulvain

Research output: Contribution to journal › Article › peer-review

36 Citations (Scopus)

Abstract

INTRODUCTION AND HYPOTHESIS: The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated pelvic organ prolapse (POP).

METHODS: We conducted a nested case-control study among 1,811 women who underwent POP surgery from January 1988 to June 2007. Cases (n = 102) were women who required reoperation for POP following the first intervention through December 2008. Controls (n = 226) were women randomly selected from the same cohort who did not require reoperation.

RESULTS: The incidence of POP reoperation was 5.1 per 1,000 women-years. The cumulative incidence was 5.6%. Risk factors included preoperative prolapse in more than two vaginal compartments (adjusted OR 5.2; 95% CI 2.8-9.7), history of surgery for POP and/or urinary incontinence (adjusted OR 3.2; 95% CI 1.5-7.1), and sexual activity (adjusted OR 2.0; 95% CI 1.0-3.7).

CONCLUSIONS: The risk of POP reoperation is relatively low and is associated with preexisting weakness of pelvic tissues.

Original language	English
Pages (from-to)	35-41
Number of pages	7
Journal	International Urogynecology Journal
Volume	23
Issue number	1
DOIs	https://doi.org/10.1007/s00192-011-1483-3
Publication status	Published - Jan 2012

Keywords

Aged
Case-Control Studies
Confidence Intervals
Female
Humans
Incidence
Middle Aged
Multivariate Analysis
Odds Ratio
Pelvic Organ Prolapse/complications
Reoperation
Risk Factors
Sexual Behavior
Urinary Incontinence/complications
Vagina/pathology

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@article{59be50762bf64ffd94cc6f53e9719748,

title = "Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse",

abstract = "INTRODUCTION AND HYPOTHESIS: The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated pelvic organ prolapse (POP).METHODS: We conducted a nested case-control study among 1,811 women who underwent POP surgery from January 1988 to June 2007. Cases (n = 102) were women who required reoperation for POP following the first intervention through December 2008. Controls (n = 226) were women randomly selected from the same cohort who did not require reoperation.RESULTS: The incidence of POP reoperation was 5.1 per 1,000 women-years. The cumulative incidence was 5.6%. Risk factors included preoperative prolapse in more than two vaginal compartments (adjusted OR 5.2; 95% CI 2.8-9.7), history of surgery for POP and/or urinary incontinence (adjusted OR 3.2; 95% CI 1.5-7.1), and sexual activity (adjusted OR 2.0; 95% CI 1.0-3.7).CONCLUSIONS: The risk of POP reoperation is relatively low and is associated with preexisting weakness of pelvic tissues.",

keywords = "Aged, Case-Control Studies, Confidence Intervals, Female, Humans, Incidence, Middle Aged, Multivariate Analysis, Odds Ratio, Pelvic Organ Prolapse/complications, Reoperation, Risk Factors, Sexual Behavior, Urinary Incontinence/complications, Vagina/pathology",

author = "Patrick D{\"a}llenbach and {Jungo Nancoz}, Carol and Isabelle Eperon and Jean-Bernard Dubuisson and Michel Boulvain",

year = "2012",

month = jan,

doi = "10.1007/s00192-011-1483-3",

language = "English",

volume = "23",

pages = "35--41",

journal = "International Urogynecology Journal",

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T1 - Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse

AU - Dällenbach, Patrick

AU - Jungo Nancoz, Carol

AU - Eperon, Isabelle

AU - Dubuisson, Jean-Bernard

AU - Boulvain, Michel

PY - 2012/1

Y1 - 2012/1

N2 - INTRODUCTION AND HYPOTHESIS: The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated pelvic organ prolapse (POP).METHODS: We conducted a nested case-control study among 1,811 women who underwent POP surgery from January 1988 to June 2007. Cases (n = 102) were women who required reoperation for POP following the first intervention through December 2008. Controls (n = 226) were women randomly selected from the same cohort who did not require reoperation.RESULTS: The incidence of POP reoperation was 5.1 per 1,000 women-years. The cumulative incidence was 5.6%. Risk factors included preoperative prolapse in more than two vaginal compartments (adjusted OR 5.2; 95% CI 2.8-9.7), history of surgery for POP and/or urinary incontinence (adjusted OR 3.2; 95% CI 1.5-7.1), and sexual activity (adjusted OR 2.0; 95% CI 1.0-3.7).CONCLUSIONS: The risk of POP reoperation is relatively low and is associated with preexisting weakness of pelvic tissues.

AB - INTRODUCTION AND HYPOTHESIS: The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated pelvic organ prolapse (POP).METHODS: We conducted a nested case-control study among 1,811 women who underwent POP surgery from January 1988 to June 2007. Cases (n = 102) were women who required reoperation for POP following the first intervention through December 2008. Controls (n = 226) were women randomly selected from the same cohort who did not require reoperation.RESULTS: The incidence of POP reoperation was 5.1 per 1,000 women-years. The cumulative incidence was 5.6%. Risk factors included preoperative prolapse in more than two vaginal compartments (adjusted OR 5.2; 95% CI 2.8-9.7), history of surgery for POP and/or urinary incontinence (adjusted OR 3.2; 95% CI 1.5-7.1), and sexual activity (adjusted OR 2.0; 95% CI 1.0-3.7).CONCLUSIONS: The risk of POP reoperation is relatively low and is associated with preexisting weakness of pelvic tissues.

KW - Aged

KW - Case-Control Studies

KW - Confidence Intervals

KW - Female

KW - Humans

KW - Incidence

KW - Middle Aged

KW - Multivariate Analysis

KW - Odds Ratio

KW - Pelvic Organ Prolapse/complications

KW - Reoperation

KW - Risk Factors

KW - Sexual Behavior

KW - Urinary Incontinence/complications

KW - Vagina/pathology

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DO - 10.1007/s00192-011-1483-3

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EP - 41

JO - International Urogynecology Journal

JF - International Urogynecology Journal

IS - 1

ER -

Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse

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