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Years from menopause-to-surgery is a major factor in the post-operative subjective outcome for pelvic organ prolapse

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Abstract

Introduction and hypothesis

The purpose of the current study was to determine the main factors associated with post-operative subjective outcome in post-menopausal patients with pelvic organ prolapse.

Methods

Ninety-four women were selected among patients who underwent surgery for grade 3 or 4 prolapse. The outcome was evaluated by the Patient Global Impression of Improvement (PGI-I) scale. Multivariate ordinal regression analysis was performed.

Results

The number of patients with improvement (1 or 2 on the PGI-I scale) was 88 (93.7%). Age and years from menopause-to-surgery were negatively (β = −0.16, P = 0.01) and positively (β = 0.14, P = 0.01) associated with the PGI-I scale. The aging effect was lost after adjusting for prolapse grade.

Conclusion

The greater the number of years from menopause-to-pelvic organ prolapse surgery, the less satisfied were the patients. The association between older patients and greater satisfaction appears to be a confounding effect of prolapse grade.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea

    Ki Hoon Ahn, Tak Kim, Jun Young Hur, Sun Haeng Kim & Kyu Wan Lee

  2. Department of Obstetrics and Gynecology, Korea University Anam Hospital, Korea University College of Medicine, 126-1, 5-ga, Anam-dong, Seongbuk-gu, Seoul, 136-705, Korea

    Young Tae Kim

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  1. Ki Hoon Ahn
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  2. Tak Kim
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  3. Jun Young Hur
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  4. Sun Haeng Kim
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  5. Kyu Wan Lee
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  6. Young Tae Kim
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Correspondence to Young Tae Kim.

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Ahn, K.H., Kim, T., Hur, J.Y. et al. Years from menopause-to-surgery is a major factor in the post-operative subjective outcome for pelvic organ prolapse. Int Urogynecol J 21, 969–975 (2010). https://doi.org/10.1007/s00192-010-1133-1

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  • DOI: https://doi.org/10.1007/s00192-010-1133-1

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