ArticleObstetrics and gynecology2009
Risk factors for pelvic floor repair after hysterectomy.
Article in Obstetrics and gynecology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 25 citations in OpenAlex.
- Apical Support After Benign Laparoscopic Hysterectomy: A Randomized Controlled Trial Comparing Vaginal Cuff Closure Techniques.International urogynecology journal · 2026Trial
- Impact of Lifestyle Modifications on the Prevention and Treatment of Pelvic Organ Prolapse.International urogynecology journal · 2025Review
- Vaginal vault prolapse and recurrent surgery: A nationwide observational cohort study.Acta obstetricia et gynecologica Scandinavica · 2022Observational
- Determining the risk factors and characteristics of de novo stress urinary incontinence in women undergoing pelvic organ prolapse surgery: A systematic review.Turkish journal of urology · 2020Review
- Pelvic organ prolapse surgery following hysterectomy with benign indication: a national cohort study in Taiwan.International urogynecology journal · 2018Article
- Long-term follow-up of the outcome of supracervical versus total abdominal hysterectomy.International urogynecology journal · 2017Observational
- Cardiovascular risk factors and diseases in women undergoing hysterectomy with ovarian conservation.Menopause (New York, N.Y.) · 2016Article
- Pelvic organ prolapse (POP) surgery among Danish women hysterectomized for benign conditions: age at hysterectomy, age at subsequent POP operation, and risk of POP after hysterectomy.International urogynecology journal · 2015Article
- A new surgical method of suprapubic and extraperitoneal approach with uterine preservation for pelvic organ prolapse: kurt extraperitoneal ligamentopexy.ISRN obstetrics and gynecology · 2013Article
- Laparoscopic sacrocolpopexy.Facts, views & vision in ObGyn · 2011Review
- Hysterectomy-a comparison of approaches.Deutsches Arzteblatt international · 2010Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveHaving demonstrated that prior history of prolapse was a risk factor for pelvic floor repair procedures after hysterectomy, the objective of this study was to assess medical risk factors for pelvic floor repair after hysterectomy.
methodsUsing the Rochester Epidemiology Project database of 8,220 Olmsted County, Minnesota, women who had hysterectomy for benign indications from 1965-2002, we conducted a nested case-control study in 144 pairs, comparing women who underwent pelvic floor repair after hysterectomy (case group) with women matched for known risk factors (ie, age, pelvic floor disorders at baseline, year and type of hysterectomy, and pelvic floor repair during hysterectomy) (control group).
resultsThe median duration between hysterectomy and pelvic floor repair was 13 years. Chronic pulmonary disease (odds ratio [OR] 14.3, 95% confidence interval [CI] 1.2-178), but not obstetric history, obesity, indication for hysterectomy, or chronic constipation, was associated with an increased risk of pelvic floor repair after hysterectomy. Between the hysterectomy and subsequent pelvic floor repair, overall pelvic organ prolapse severity changed by one grade or less in 54 case patients (38%, group A) but increased by two or more grades in 72 case patients (50%, group B). In group A, but not group B, uterine prolapse (OR 25, 95% CI 2.1-300) and chronic pulmonary disease (OR 22, 95% CI 1.5-328) at baseline remained risk factors for pelvic floor repair after hysterectomy.
conclusionIn this matched case-control study, chronic pulmonary disease was the only risk factor for pelvic floor repair after hysterectomy for benign indications, underscoring the need to address pulmonary status before surgery.
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