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Vaginal hysterectomy and risk of pelvic organ prolapse and stress urinary incontinence surgery.
- Source :
-
International Urogynecology Journal . Jan2012, Vol. 23 Issue 1, p43-48. 6p. - Publication Year :
- 2012
-
Abstract
- Introduction and hypothesis: This study aims to determine the risk of pelvic organ prolapse (POP) and stress urinary incontinence (SUI) surgery related to mode of hysterectomy focusing on vaginal hysterectomy. Methods: We performed a nationwide cohort study. Women exposed to hysterectomy on benign indications ( n = 118,601) were compared to women unexposed to hysterectomy ( n = 579,200). The outcome was defined as first occurrence of POP or SUI surgery. Hazard ratios (HRs) were calculated with 95% confidence intervals (CIs) using Cox proportional-hazards models. Results: The greatest risks of POP (HR 4.9, 95% CI 3.4-6.9) or SUI surgery (HR 6.3, 95% CI 4.4-9.1) were observed subsequent to vaginal hysterectomy for pelvic organ prolapse. Having a vaginal hysterectomy for other reasons also significantly increased the risks of POP and SUI surgery compared to other modes of hysterectomy. Conclusions: Hysterectomy in general, in particular vaginal hysterectomy, was associated with an increased risk for subsequent POP and SUI surgery. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09373462
- Volume :
- 23
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- International Urogynecology Journal
- Publication Type :
- Academic Journal
- Accession number :
- 70119681
- Full Text :
- https://doi.org/10.1007/s00192-011-1523-z