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

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

In: International Urogynecology Journal, 2012, vol. 23, no. 1, p. 35-41

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    Titre
    • Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse
    Auteur
    • Dällenbach, Patrick. Urogynecology Unit, Division of Gynecology, Department of Gynecology and Obstetrics, Geneva University Hospitals, 30 boulevard de la Cluse, 1211, Geneva, Switzerland
    • Jungo Nancoz, Carol. Urogynecology Unit, Division of Gynecology, Department of Gynecology and Obstetrics, Geneva University Hospitals, 30 boulevard de la Cluse, 1211, Geneva, Switzerland
    • Eperon, Isabelle. Urogynecology Unit, Division of Gynecology, Department of Gynecology and Obstetrics, Geneva University Hospitals, 30 boulevard de la Cluse, 1211, Geneva, Switzerland
    • Dubuisson, Jean-Bernard. Urogynecology Unit, Division of Gynecology, Department of Gynecology and Obstetrics, Geneva University Hospitals, 30 boulevard de la Cluse, 1211, Geneva, Switzerland
    • Boulvain, Michel. Epidemiology and Research in Obstetrics and Gynecology Unit, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • International Urogynecology Journal, 2012, vol. 23, no. 1, p. 35-41. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:314421
    Summary
    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