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Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy

Dällenbach, Patrick
Kaelin-Gambirasio, Isabelle
Jacob, Sandrine
Published in International Urogynecology Journal. 2008, vol. 19, no. 12, p. 1623-1629
Abstract Our objective was to estimate the incidence and identify the risk factors for vaginal vault prolapse repair after hysterectomy. We conducted a case control study among 6,214 women who underwent hysterectomy from 1982 to 2002. Cases (n = 32) were women who required vaginal vault suspension following the hysterectomy through December 2005. Controls (n = 236) were women, randomly selected from the same cohort, who did not require pelvic organ prolapse surgery. The incidence of vaginal vault prolapse repair was 0.36 per 1,000 women-years. The cumulative incidence was 0.5%. Risk factors included preoperative prolapse (odds ratio (OR) 6.6; 95% confidence interval (CI) 1.5-28.4) and sexual activity (OR 1.3; 95% CI 1.0-1.5). Vaginal hysterectomy was not a risk factor when preoperative prolapse was taken into account (OR 0.9; 95% CI 0.5-1.8).Vaginal vault prolapse repair after hysterectomy is an infrequent event and is due to preexisting weakness of pelvic tissues.
Keywords AdultCase-Control StudiesCystocele/epidemiologyFemaleHumansHysterectomy/adverse effectsHysterectomy, VaginalIncidenceMiddle AgedPostoperative Complications/epidemiologyRisk FactorsUterine Prolapse/epidemiology/surgery
Stable URL https://archive-ouverte.unige.ch/unige:1313
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PMID: 18773134

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Deposited on : 2009-04-02

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