Incidence of pelvic floor repair after hysterectomy: A population-based cohort study
Open accessAbstract
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.
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Postoperative vaginal cuff infection may lead to recurrence by weakening fascial tissues and displacing sutures.
“Infection in the vaginal cuff may lead to weakening of the fascial tissues leading to displacement of the sutures, resulting in recurrence [18].”
From Risk factors for recurrence of pelvic organ prolapse after vaginal surgery among Ugandan women: a prospective cohort study (2022) · cites this paper as [18]
Reoperation rates after POP surgery range between 10% and 17%.
“In various studies, some women in whom POP recurred after surgery often underwent repeat surgery, with reported reoperation rates ranging between 10 and 17% [13, 18].”
From Risk factors for recurrence of pelvic organ prolapse after vaginal surgery among Ugandan women: a prospective cohort study (2022) · cites this paper as [18]
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Self-citation
- Authors
- Blandon, R. E., Bharucha, A. E., Melton, L. J., Schleck, C. D., Babalola, E. O., Zinsmeister, A. R., & Gebhart, J. B.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Bharucha, Adil E.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2007-12
- Volume
- 197
- Issue
- 6
- Pages
- 664.e1-664.e7
- ISSN
- 0002-9378 (ISSN-L)
- PMC
- PMC2562278
- OpenAlex
- W1982297796
- Cited by
- 120
- References
- 32
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 10 · 2019: 9 · 2018: 10 · 2017: 12 · 2016: 9 · 2015: 6 · 2014: 9 · 2013: 6 · 2012: 4
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD041129)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Ureteral procedures and complications
- Keywords
- pelvic floor reconstruction, hysterectomy, pelvic organ prolapse, post-hysterectomy complications, risk factors, incidence, benign hysterectomy, Rochester Epidemiology Project, women's health
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Humans, Hysterectomy, Middle Aged, Retrospective Studies, Uterine Prolapse, Cohort Studies, Incidence, Pelvic Floor
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