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International Urogynecology Journal

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01.01.2012 | Original Article

Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse

verfasst von: Patrick Dällenbach, Carol Jungo Nancoz, Isabelle Eperon, Jean-Bernard Dubuisson, Michel Boulvain

Erschienen in: International Urogynecology Journal | Ausgabe 1/2012

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Abstract

Introduction and hypothesis

The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated pelvic organ prolapse (POP).

Methods

We conducted a nested case–control study among 1,811 women who underwent POP surgery from January 1988 to June 2007. Cases (n = 102) were women who required reoperation for POP following the first intervention through December 2008. Controls (n = 226) were women randomly selected from the same cohort who did not require reoperation.

Results

The incidence of POP reoperation was 5.1 per 1,000 women-years. The cumulative incidence was 5.6%. Risk factors included preoperative prolapse in more than two vaginal compartments (adjusted OR 5.2; 95% CI 2.8–9.7), history of surgery for POP and/or urinary incontinence (adjusted OR 3.2; 95% CI 1.5–7.1), and sexual activity (adjusted OR 2.0; 95% CI 1.0–3.7).

Conclusions

The risk of POP reoperation is relatively low and is associated with preexisting weakness of pelvic tissues.

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Titel: Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse
verfasst von: Patrick Dällenbach
Carol Jungo Nancoz
Isabelle Eperon
Jean-Bernard Dubuisson
Michel Boulvain
Publikationsdatum: 01.01.2012
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 1/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1483-3

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