ArticleInternational urogynecology journal2018
Pelvic organ prolapse surgery following hysterectomy with benign indication: a national cohort study in Taiwan.
Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed, 12 citations in OpenAlex.
- Modified first-level reconstruction and reinforcement during laparoscopic total hysterectomy for prevention of post-operative pelvic organ prolapse: a randomized clinical trial.African health sciences · 2024Trial
- Hysterectomy on benign indication and risk of pelvic organ prolapse surgery: A national matched cohort study.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Vaginal vault prolapse and recurrent surgery: A nationwide observational cohort study.Acta obstetricia et gynecologica Scandinavica · 2022Observational
- Vaginal, sexual and urinary symptoms following hysterectomy: a multi-centre randomized controlled trial.Women's midlife health · 2020Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisHysterectomy and pelvic organ prolapse (POP) surgeries are two of the most common gynecologic surgeries conducted for benign conditions. This nationwide retrospective cohort study explored the risk of subsequent POP surgery following hysterectomy without simultaneous POP surgery.
methodsThis study identified 7298 patients who underwent hysterectomy between January 1, 2000, and December 31, 2012, from the Taiwan National Health Insurance (NHI) Research Database. A comparison cohort was constructed comprising 29,192 age-matched patients who had not undergone hysterectomy. All hysterectomy and control patients were followed until they required POP surgery, withdrew from the NHI system, died, or December 31, 2012. Patients were excluded if they underwent POP surgery before or at the time of hysterectomy.
resultsThe adjusted hazard ratio (aHR) of subsequent POP surgery in subjects with hysterectomy was higher [2.60, 95% confidence interval (CI) 1.79-3.78] than that of controls during the follow-up period. Compared with patients who had not undergone hysterectomy, the highest risks of subsequent POP surgery was noted in those who had undergone vaginal hysterectomy (VH; HR 6.29, 95% CI 1.54-25.79) followed by those who underwent laparoscopy-assisted VH (LAVH; HR 3.77, 95% CI 2.43-5.85).
conclusionsHysterectomy may increase the risk of subsequent POP surgery, and various hysterectomy techniques, particularly VH and LAVH, may increase the risk of subsequent POP surgery.
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