Journal
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
Volume 197, Issue 6, Pages -Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.ajog.2007.08.064
Keywords
epidemiology; posthysterectomy; prolapse; risk factors
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Funding
- NICHD NIH HHS [R01 HD041129-05, R01 HD041129, R01 HD041129-04] Funding Source: Medline
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OBJECTIVE: The objective of the study was to assess the incidence of and risk factors for pelvic floor repair (PFR) procedures after hysterectomy. STUDY DESIGN: Using the Rochester Epidemiology Project database, we tracked the incidence of PFRs through June 2006 among 8220 Olmsted County, MN, women who had a hysterectomy for benign indications between 1965 and 2002. RESULTS: The cumulative incidence of PFR after hysterectomy was 5.1% by 30 years. This risk was not influenced by age at hysterectomy or calendar period. Future PFR was more frequently required in women who had prolapse, whether they underwent a hysterectomy alone (eg, vaginal [hazard ratio (HR) 4.3; 95% confidence interval (CI) 2.5 to 7.3], abdominal [HR 3.9; 95% CI 1.9 to 8.0]) or a hysterectomy and PFR ( ie, vaginal [HR 1.9; 95% CI 1.3 to 2.7] or abdominal [HR 2.9; 95% CI 1.5 to 5.5]). CONCLUSION: Compared with women without prolapse, women who had a hysterectomy for prolapse were at increased risk for subsequent PFR.
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