Incidence of pelvic floor repair after hysterectomy: A population-based cohort study

被引:83
作者
Blandon, Roberta E. [1 ]
Bharucha, Adil E. [2 ]
Melton, L. Joseph, III [4 ]
Schleck, Cathy D. [3 ]
Babalola, Ebenezer O. [1 ]
Zinsmeister, Alan R. [3 ]
Gebhart, John B. [1 ]
机构
[1] Mayo Clin, Coll Med, Dept Obstet & Gynecol, Rochester, MN 55905 USA
[2] Mayo Clin, Coll Med, Div Gastroenterol & Hepatol, Rochester, MN 55905 USA
[3] Mayo Clin, Coll Med, Div Biostat, Rochester, MN 55905 USA
[4] Mayo Clin, Coll Med, Div Epidemiol, Rochester, MN 55905 USA
关键词
epidemiology; posthysterectomy; prolapse; risk factors;
D O I
10.1016/j.ajog.2007.08.064
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The objective of the study was to assess the incidence of and risk factors for pelvic floor repair (PFR) procedures after hysterectomy. STUDY DESIGN: Using the Rochester Epidemiology Project database, we tracked the incidence of PFRs through June 2006 among 8220 Olmsted County, MN, women who had a hysterectomy for benign indications between 1965 and 2002. RESULTS: The cumulative incidence of PFR after hysterectomy was 5.1% by 30 years. This risk was not influenced by age at hysterectomy or calendar period. Future PFR was more frequently required in women who had prolapse, whether they underwent a hysterectomy alone (eg, vaginal [hazard ratio (HR) 4.3; 95% confidence interval (CI) 2.5 to 7.3], abdominal [HR 3.9; 95% CI 1.9 to 8.0]) or a hysterectomy and PFR ( ie, vaginal [HR 1.9; 95% CI 1.3 to 2.7] or abdominal [HR 2.9; 95% CI 1.5 to 5.5]). CONCLUSION: Compared with women without prolapse, women who had a hysterectomy for prolapse were at increased risk for subsequent PFR.
引用
收藏
页码:664.e1 / 664.e7
页数:7
相关论文
共 27 条
[11]  
Lepine L A, 1997, MMWR CDC Surveill Summ, V46, P1
[12]   The demographics of pelvic floor disorders: Current observations and future projections [J].
Luber, KM ;
Boero, S ;
Choe, JY .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2001, 184 (07) :1496-1503
[13]   Epidemiology of genital prolapse: Observations from the Oxford Family Planning Association Study [J].
Mant, J ;
Painter, R ;
Vessey, M .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1997, 104 (05) :579-585
[15]   The threat to medical-records research [J].
Melton, LJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (20) :1466-1470
[16]   History of the Rochester Epidemiology Project [J].
Melton, LJ .
MAYO CLINIC PROCEEDINGS, 1996, 71 (03) :266-274
[17]   Pelvic organ prolapse in older women: Prevalence and risk factors [J].
Nygaard, I ;
Bradley, C ;
Brandt, D .
OBSTETRICS AND GYNECOLOGY, 2004, 104 (03) :489-497
[18]   Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence [J].
Olsen, AL ;
Smith, VJ ;
Bergstrom, JO ;
Colling, JC ;
Clark, AL .
OBSTETRICS AND GYNECOLOGY, 1997, 89 (04) :501-506
[20]  
RICHTER K, 1982, Clinical Obstetrics and Gynecology, V25, P897