Meeting paperAUGS paperPelvic organ prolapse surgery following hysterectomy on benign indications
Section snippets
Materials and Methods
The Swedish Inpatient Register keeps records of the following: (1) dates of all hospital admissions and discharges; (2) up to 8 discharge diagnoses, coded according to the International Classification of Diseases (ICD) −7 until 1968, ICD-8 from 1968 through 1986, ICD-9 from 1987 through 1996, and ICD-10 thereafter; and (3) up to 12 operation codes from the Swedish Classification of Operations and Major Procedures. The registry was established in 1964; in 1973 the registry covered more than 60%
Results
During the observational period, 162,488 women with hysterectomy fulfilled the inclusion criteria and were individually matched to 470,519 women without hysterectomy. The cohorts were followed up for an average of 11.9 years (SD ± 8.0) and 12.1 years (SD ± 7.9), respectively. In all, 3.2% (n = 5270) of women with hysterectomy had pelvic organ prolapse surgery, compared with 2.0% (n =,437) in the nonhysterectomized control group. The overall hysterectomy rate on benign indications increased by
Comment
Our population-based findings confirm the association between hysterectomy on benign indications and an increased risk for pelvic organ prolapse surgery. A major limitation of previous studies on the subject is that they rarely differentiate between various modes and routes of hysterectomy,4, 10, 11 and therefore, the relative importance of specific surgical techniques have been unknown.
In the present study, women with vaginal hysterectomy had the highest rates of subsequent pelvic organ
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Cited by (93)
Pelvic Floor Disorders/Obstetric Fistula
2022, Obstetrics and Gynecology Clinics of North AmericaPelvic organ prolapse following hysterectomy on benign indication: a nationwide, nulliparous cohort study
2022, American Journal of Obstetrics and GynecologyPelvic organ prolapse after 3 modes of hysterectomy: long-term follow-up
2021, American Journal of Obstetrics and GynecologyCitation Excerpt :The impact of route of hysterectomy on subsequent prolapse has been previously debated, however it is still not well established. In a nationwide longitudinal study, Altman et al18 reported a rate of subsequent prolapse in 564 (per 100,000 person-years) women undergoing abdominal surgery, 679 after vaginal and 287 after laparoscopic hysterectomy. Recently, a study using the Danish National Patient Registry with a 20-year follow-up showed that the highest cumulative incidence of POP surgery was after vaginal hysterectomy (14%) with approximately 6% for laparoscopic or abdominal hysterectomy.19
Hysterectomy Provides Benefit in Health-Related Quality of Life: A 10-Year Follow-up Study
2020, Journal of Minimally Invasive GynecologyHigh Uterosacral Ligaments Suspension for Post-Hysterectomy Vaginal Vault Prolapse Repair
2024, Medicina (Lithuania)
Cite this article as: Altman D, Falconer C, Cnattingius S, et al. Pelvic organ prolapse surgery following hysterectomy on benign indications. Am J Obstet Gynecol 2008;198:572.e1-572.e6.