Pelvic organ prolapse surgery after different hysterectomy methods: A population-based cohort study

A. Klimczak, Gokhan Kilic, B. S. Unlu, Y. L. Lin, Y. F. Kuo, M. Borahay

Research output: Contribution to journalArticle

Abstract

Background: Pelvic floor disorders are expected to greatly increase in the coming years. Many factors have been implicated in the development of pelvic organ prolapse (POP). In the last decade, the route of hysterectomy performed has shifted more towards robotic/laparoscopic techniques, and the role that the hysterectomy route plays in the need for future POP repair remains uncertain. Here the authors investigate the association of POP repair following robotic/laparoscopic hysterectomies, as well as vaginal, supracervical, and abdominal modalities. Results: Patients living in the West were more likely to have a prolapse repair post- hysterectomy than those living in the Midwest (HR 1.39; 95% CI: 1.01–1.93). Patients with hospital stays ≥ 4 days following hysterectomies were more likely to require future prolapse repairs than those with ≤ 1-day stays (HR 1.71; 95% CI: 1.10–2.65). Compared to abdominal procedures, robotic/laparoscopic modalities were more likely to be associated with prolapse within 18 months of hysterectomies (HR 1.72, 95% CI: 1.13–2.61). However, between 18 and 36 months, both supracervical and vaginal hysterectomies were more likely to be associated with prolapse surgeries (HR 1.96, 95% CI: 1.15–3.34 and HR 1.94; 95% CI: 1.02–3.70, respectively). Conclusions: Region and length of hospital stay significantly impacted the need for future prolapse repair. Among modalities, the association with prolapse repair changes with time.

Original languageEnglish (US)
Pages (from-to)466-472
Number of pages7
JournalClinical and Experimental Obstetrics and Gynecology
Volume46
Issue number3
DOIs
StatePublished - Jan 1 2019

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Pelvic Organ Prolapse
Prolapse
Hysterectomy
Cohort Studies
Robotics
Population
Length of Stay
Pelvic Floor Disorders
Vaginal Hysterectomy

Keywords

  • Hysterectomy
  • Pelvic organ prolapse
  • Prolapse repair

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Pelvic organ prolapse surgery after different hysterectomy methods : A population-based cohort study. / Klimczak, A.; Kilic, Gokhan; Unlu, B. S.; Lin, Y. L.; Kuo, Y. F.; Borahay, M.

In: Clinical and Experimental Obstetrics and Gynecology, Vol. 46, No. 3, 01.01.2019, p. 466-472.

Research output: Contribution to journalArticle

Klimczak, A. ; Kilic, Gokhan ; Unlu, B. S. ; Lin, Y. L. ; Kuo, Y. F. ; Borahay, M. / Pelvic organ prolapse surgery after different hysterectomy methods : A population-based cohort study. In: Clinical and Experimental Obstetrics and Gynecology. 2019 ; Vol. 46, No. 3. pp. 466-472.
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