ArticleInternational urogynecology journal2020
Complications and reoperation after pelvic organ prolapse, impact of hysterectomy, surgical approach and surgeon experience.
Article in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Comparison between fascia lata and rectus fascia in treatment of pelvic organ prolapse: a systematic review.Archives of gynecology and obstetrics · 2024Pooled it
- Article
- Article
- Recurrent pelvic organ prolapse after hysterectomy; a 10-year national follow-up study.Archives of gynecology and obstetrics · 2024Article
- Impact of preoperative pelvic floor muscle function on the success of surgical treatment of pelvic organ prolapse.International urogynecology journal · 2024Observational
- Gynecologic reconstructive surgery: tailoring the postoperative care to the patient.Gynecology and pelvic medicine · 2024Article
- Adverse outcomes after minimally invasive surgery for pelvic organ prolapse in women 65 years and older in the United States.International urogynecology journal · 2022Article
- Pelvic organ prolapse recurrence and obesity matter: Correspondence.International urogynecology journal · 2022Article
- Pelvic organ prolapse recurrence after apical prolapse repair: does obesity matter?International urogynecology journal · 2022Article
- Surgical approach and unplanned readmission following pelvic organ prolapse surgery: a retrospective cohort study using data from the National Surgical Quality Improvement Program Database (NSQIP).International urogynecology journal · 2021Article
- Reoperation rate and outcomes following the placement of polypropylene mesh by the vaginal route for cystocele: very long-term follow-up.International urogynecology journal · 2021Article
- Initial Experience of Laparoscopic Pectopexy for Apical Prolapse in South Korea.Journal of menopausal medicine · 2020Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe surgical treatment of pelvic organ prolapse (POP) is associated with specific complications. Our primary objective was to assess the recurrence requiring reoperation after prolapse surgery, and our secondary objectives were to assess the early complications and secondary surgery for urinary incontinence.
methodsRetrospective study of a population-based cohort of all hospital or outpatient stays including POP surgery from 2008 to 2014, using the French nationwide discharge summary database. We calculated the rates of hospital readmission following surgery as well as the rates of reoperation for recurrent prolapse and subsequent procedures performed for urinary incontinence.
resultsA total of 310,938 patients had undergone surgery for POP. Two hundred fourteen (0.07%) patients died, and 0.45% were admitted to an intensive care unit; 4.4% of the patients underwent surgery for the recurrence of prolapse. Concomitant hysterectomy in the first surgery was associated with a significantly lower risk of POP surgery recurrence: (hazard ratio (HR) [95% confidence interval (CI)] = 0.51 [0.49; 0.53]). A total of 1386 (2.5%) patients were readmitted to the hospital for early (30-day) complications of prolapse surgery. The most frequent reasons for early readmission were local infection (32.8%), hemorrhage (21.4%) and pain (17.2%). Risk factors for complications were obesity, hospitals with low levels of activity and associated incontinence surgery; 4.6% of the patients required secondary surgery for urinary incontinence; obesity was a risk factor (HR [95% CI] = 1.12 [1.01; 1.24]), and the vaginal route was a protective factor (odds ratio = 1.86 for laparoscopy, 1.44 for laparotomy and 1.25 for multiple approaches).
conclusionsPOP surgery is associated with low rates of complication and recurrence. Complications occurred most commonly following combined surgeries for both prolapse and incontinence and in hospitals with low surgical volumes. Concomitant hysterectomy appears to be protective for the need for additional prolapse surgery, and the vaginal route leads to a lower frequency of secondary surgery for urinary incontinence.
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