Lifetime Risk of Undergoing Surgery for Pelvic Organ Prolapse
Abstract
OBJECTIVE: To investigate the lifetime risk of first-time incident pelvic organ prolapse (POP) surgery with the intention of updating previous risk estimates that have been based on members of managed-care populations. METHODS: Age-specific incidence rates of first-time prolapse surgery between 1981 and 2005 were calculated based on 44,728-incident cases. We estimated the lifetime risk as the cumulative incidence to age 85 years based on a life-table method and using the most recent cross-sectional incidence rates for the period 2001-2005. Age-standardized rates by calendar year were also calculated to show the secular trend in prolapse surgery. RESULTS: The lifetime risk of surgery for POP in the general female population was 19% based on the most recent cross-sectional rates, a figure higher than the 11-12% reported from U.S. managed-care populations. CONCLUSION: There is a relatively high likelihood that a woman in Western Australia will undergo surgery for POP during her lifetime. If, as our results suggest, the burden of genital prolapse in general populations is higher than previously thought, there is justification for a stronger evidence base for prevention, early detection and intervention to reduce the personal and societal costs of these gynecological conditions. LEVEL OF EVIDENCE: II.
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Recurrence of prolapse after surgical treatment is common.
“However, recurrence of prolapse after surgical treatment is common.”
From How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025 (2026) · cites this paper as [2]
A 2010 Australian study reported a lifetime risk of prolapse surgery of 19%.
“A similar Australian study from 2010 reported a higher lifetime risk of prolapse surgery of 19% [2].”
From How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025 (2026) · cites this paper as [2]
Cites
Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence
OLSEN, A., SMITH, V, BERGSTROM, J., COLLING, J., & CLARK, A. (1997) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(97)00058-6 · Cited by 3,335 · see citing works
Pelvic organ prolapse in the women's health initiative: Gravity and gravidity
Hendrix, S. L., Clark, A., Nygaard, I., Aragaki, A. K., Barnabei, V. M., & McTiernan, A. (2002) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2002.123819 · Cited by 1,273 · see citing works
Holman, C. D. J., Bass, A. J., Rouse, I. L., & HOBBS, M. S. T. (1999) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.1999.tb01297.x · Cited by 1,037 · see citing works
Self-citationJelovsek, J. E., Maher, C., & Barber, M. D. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60462-0 · Cited by 976 · see citing works
Epidemiology of genital prolapse: observations from the Oxford Family Planning Association study
Mant, J., Painter, R., & Vessey, M. P. (1997) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1997.tb11536.x · Cited by 780 · see citing works
Samuelsson, E. C., Víctor, F.-V., Tibblin, G., & Svärdsudd, K. (1999) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(99)70203-6 · Cited by 699 · see citing works
Swift, S. (2000) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2000.107583 · Cited by 518 · see citing works
Holman, C. D. J., Bass, J. A., Rosman, D. L., Smith, M. B., Semmens, J. B., Glasson, E. J., Brook, E. L., Trutwein, B., Rouse, I. L., Watson, C. R., et al. (2008) · Australian Health Review · doi:10.1071/ah080766 · Cited by 507 · see citing works
Self-citationProcedures for pelvic organ prolapse in the United States, 1979-1997
Boyles, S. H., Weber, A. M., & Meyn, L. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2003.101 · Cited by 501 · see citing works
Registries and Administrative Data
Roos, L. L., Mustard, C., Nicol, J. P., Comm, B. R. P., McLerran, D., Malenka, D. J., Young, T. K., & Cohen, M. M. (1993) · Medical Care · doi:10.1097/00005650-199303000-00002 · Cited by 298 · see citing works
Lifetime risk of surgical management for pelvic organ prolapse or urinary incontinence
Fialkow, M. F., Newton, K. M., Lentz, G. M., & Weiss, N. S. (2007) · International Urogynecology Journal · doi:10.1007/s00192-007-0459-9 · Cited by 237 · see citing works
Reproductive factors, family history, occupation and risk of urogenital prolapse
Chiaffarino, F., Chatenoud, L., Dindelli, M., Meschìa, M., Buonaguidi, A., Amicarelli, F., Surace, M., Bertola, E. F., Cintio, E. D., & Parazzini, F. (1999) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/s0301-2115(98)00175-4 · Cited by 206 · see citing works
Genetic Influence on Stress Urinary Incontinence and Pelvic Organ Prolapse
Altman, D., Forsman, M., Falconer, C., & Lichtenstein, P. (2007) · European Urology · doi:10.1016/j.eururo.2007.12.004 · Cited by 162 · see citing works
Pregnancy, labor, delivery, and pelvic organ prolapse1
Sze, E. H. M. (2002) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(02)02246-9 · Cited by 150 · see citing works
The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA
Shah, A. D., Kohli, N., Rajan, S. S., & Hoyte, L. P. J. (2007) · International Urogynecology Journal · doi:10.1007/s00192-007-0457-y · Cited by 147 · see citing works
O’Leary, C., De Klerk, N., Keogh, J., Pennell, C., De Groot, J., York, L., Mulroy, S., & Stanley, F. (2007) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2007.01307.x · Cited by 118 · see citing works
Spilsbury, K., Semmens, J. B., Hammond, I. G., & Bolck, A. (2006) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2006.00962.x · Cited by 104 · see citing works
Teng, T. K., Finn, J., Hung, J., Geelhoed, E. A., & HOBBS, M. S. T. (2008) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1753-6405.2008.00269.x · Cited by 74 · see citing works
Clark, A., Preen, D. B., Ng, J. Q., Semmens, J. B., & Holman, C. D. J. (2010) · Australian Health Review · doi:10.1071/ah09805 · Cited by 69 · see citing works
Self-citationBrameld, K., Thomas, M., Holman, C. D. J., Bass, A. J., & Rouse, I. L. (1999) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.1999.tb01299.x · Cited by 66 · see citing works
Self-citationCancer incidence: life table risk versus cumulative risk.
Schouten, L. J., Straatman, H., Kiemeney, L. A. L. M., & Verbeek, A. L. M. (1994) · Journal of Epidemiology & Community Health · doi:10.1136/jech.48.6.596 · Cited by 63 · see citing works
MANAGED CARE DATA AND PUBLIC HEALTH: The Experience of Group Health Cooperative of Puget Sound
Fishman, P. A., & Wagner, E. H. (1998) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.19.1.477 · Cited by 33 · see citing works
Babalola, E. O., Bharucha, A. E., Melton, L. J., Schleck, C. D., Zinsmeister, A. R., Klingele, C. J., & Gebhart, J. B. (2008) · International Urogynecology Journal · doi:10.1007/s00192-008-0613-z · Cited by 18 · see citing works
Are HMO Enrollees Healthier Than Others? Results From The Community Tracking Study
Schaefer, E., & Reschovsky, J. D. (2002) · Health Affairs · doi:10.1377/hlthaff.21.3.249 · Cited by 16 · see citing works
Watson, N., Holman, D., Jamrozik, K., et al. (1997) · UWA Profiles and Research Repository (UWA) · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Practice Bulletin No. 183: postpartum hemorrhage
(2017) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000002351 · Cited by 1,406 · see citing works
Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery
Wu, J. M., Matthews, C. A., Conover, M. M., Pate, V., & Jonsson Funk, M. (2014) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000000286 · Cited by 1,111 · see citing works
Epidemiology and outcome assessment of pelvic organ prolapse
Barber, M. D., & Maher, C. (2013) · International Urogynecology Journal · doi:10.1007/s00192-013-2169-9 · Cited by 767 · see citing works
Long-term Outcomes Following Abdominal Sacrocolpopexy for Pelvic Organ Prolapse
Nygaard, I., Brubaker, L., Zyczynski, H. M., Cundiff, G., Richter, H., Gantz, M., Fine, P., Menefee, S., Ridgeway, B., Visco, A., et al. (2013) · JAMA · doi:10.1001/jama.2013.4919 · Cited by 563 · see citing works
Endometrial stem/progenitor cells: the first 10 years
Gargett, C. E., Schwab, K. E., & Deane, J. A. (2015) · Human Reproduction Update · doi:10.1093/humupd/dmv051 · Cited by 561 · see citing works
A Midurethral Sling to Reduce Incontinence after Vaginal Prolapse Repair
Wei, J. T., Nygaard, I., Richter, H. E., Nager, C. W., Barber, M. D., Kenton, K., Amundsen, C. L., Schaffer, J., Meikle, S. F., & Spino, C. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1111967 · Cited by 339 · see citing works
Meriwether, K. V., Antosh, D. D., Olivera, C. K., Kim-Fine, S., Balk, E. M., Murphy, M., Grimes, C. L., Sleemi, A., Singh, R., Dieter, A. A., et al. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.01.018 · Cited by 254 · see citing works
Risk factors for prolapse recurrence: systematic review and meta-analysis
Friedman, T., Eslick, G. D., & Dietz, H. P. (2018) · International Urogynecology Journal · doi:10.1007/s00192-017-3475-4 · Cited by 222 · see citing works
Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 214
(2019) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000003519 · Cited by 187 · see citing works
DIETZ, H. P., FRANCO, A. V. M., SHEK, K. L., & KIRBY, A. (2012) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01315.x · Cited by 158 · see citing works
Abdel-fattah, M., Familusi, A., Fielding, S., Ford, J., & Bhattacharya, S. (2011) · BMJ Open · doi:10.1136/bmjopen-2011-000206 · Cited by 139 · see citing works
Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies
Giri, A., Hartmann, K. E., Hellwege, J. N., Velez Edwards, D. R., & Edwards, T. L. (2017) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2017.01.039 · Cited by 133 · see citing works
Schulten, S. F. M., Detollenaere, R. J., Stekelenburg, J., IntHout, J., Kluivers, K. B., & van Eijndhoven, H. W. F. (2019) · BMJ · doi:10.1136/bmj.l5149 · Cited by 127 · see citing works
Dietz, H. P., & Mann, K. P. (2014) · International Urogynecology Journal · doi:10.1007/s00192-013-2307-4 · Cited by 98 · see citing works
Delivery mode and the risk of levator muscle avulsion: a meta-analysis
Friedman, T., Eslick, G. D., & Dietz, H. P. (2019) · International Urogynecology Journal · doi:10.1007/s00192-018-3827-8 · Cited by 80 · see citing works
Obesity and pelvic organ prolapse
Lee, U. J., Kerkhof, M. H., van Leijsen, S. A., & Heesakkers, J. P. (2017) · Current Opinion in Urology · doi:10.1097/mou.0000000000000428 · Cited by 74 · see citing works
Myers, E. M., Siff, L., Osmundsen, B., Geller, E., & Matthews, C. A. (2015) · International Urogynecology Journal · doi:10.1007/s00192-014-2551-2 · Cited by 53 · see citing works
Matthews, C. A., Geller, E. J., Henley, B. R., Kenton, K., Myers, E. M., Dieter, A. A., Parnell, B., Lewicky-Gaupp, C., Mueller, M. G., & Wu, J. M. (2020) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000003884 · Cited by 51 · see citing works
Haj-Yahya, R., Chill, H. H., Levin, G., Reuveni-Salzman, A., & Shveiky, D. (2020) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2019.02.012 · Cited by 50 · see citing works
Early postpartum physical activity and pelvic floor support and symptoms 1 year postpartum
Nygaard, I. E., Wolpern, A., Bardsley, T., Egger, M. J., & Shaw, J. M. (2021) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2020.08.033 · Cited by 48 · see citing works
ELLINGTON, D. R., & RICHTER, H. E. (2013) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0b013e318282f2e8 · Cited by 47 · see citing works
Reoperation for pelvic organ prolapse: a Danish cohort study with 15–20 years’ follow-up
Løwenstein, E., Møller, L. A., Laigaard, J., & Gimbel, H. (2018) · International Urogynecology Journal · doi:10.1007/s00192-017-3395-3 · Cited by 46 · see citing works
Recent studies of genetic dysfunction in pelvic organ prolapse: The role of collagen defects
Lim, V. F., Khoo, J. K., Wong, V., & Moore, K. H. (2014) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.12169 · Cited by 44 · see citing works
Surgical interventions for uterine prolapse and for vault prolapse: the two VUE RCTs
Hemming, C., Constable, L., Goulao, B., Kilonzo, M., Boyers, D., Elders, A., Cooper, K., Smith, A., Freeman, R., Breeman, S., et al. (2020) · Health Technology Assessment · doi:10.3310/hta24130 · Cited by 35 · see citing works
Levator hiatal area as a risk factor for cystocele recurrence after surgery: a prospective study
Vergeldt, T., Notten, K., Weemhoff, M., van Kuijk, S., Mulder, F., Beets‐Tan, R., Vliegen, R., Gondrie, E., Bergmans, M., Roovers, J., et al. (2015) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.13340 · Cited by 35 · see citing works
Association between adjuvant posterior repair and success of native tissue apical suspension
Sutkin, G., Zyczynski, H. M., Sridhar, A., Jelovsek, J. E., Rardin, C. R., Mazloomdoost, D., Rahn, D. D., Nguyen, J. N., Andy, U. U., Meyer, I., et al. (2020) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2019.08.024 · Cited by 34 · see citing works
Rahn, D. D., Richter, H. E., Sung, V. W., Pruszynski, J. E., & Hynan, L. S. (2023) · JAMA · doi:10.1001/jama.2023.12317 · Cited by 28 · see citing works
Farthmann, J., Watermann, D., Erbes, T., Roth, K., Nanovska, P., Gitsch, G., & Gabriel, B. (2015) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-014-3435-x · Cited by 25 · see citing works
Anatomical Cystocele Recurrence: Development and Internal Validation of a Prediction Model
Vergeldt, T. F. M., van Kuijk, S. M. J., Notten, K. J. B., Kluivers, K. B., & Weemhoff, M. (2016) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000001272 · Cited by 25 · see citing works
Izett-Kay, M. L., Rahmanou, P., Cartwright, R. J., Price, N., & Jackson, S. R. (2022) · International Urogynecology Journal · doi:10.1007/s00192-021-04932-6 · Cited by 26 · see citing works
Zenebe, C. B., Chanie, W. F., Aregawi, A. B., Andargie, T. M., & Mihret, M. S. (2021) · Reproductive Health · doi:10.1186/s12978-021-01104-z · Cited by 21 · see citing works
Does levator ani hiatal area configuration affect pelvic organ prolapse?
Xuan, Y., Friedman, T., & Dietz, H. P. (2019) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.20210 · Cited by 20 · see citing works
Brennand, E. A., Scime, N. V., Huang, B., Edwards, A. D., Kim-Fine, S., Hall, J., Birch, C., Robert, M., & Carter Ramirez, A. (2025) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2024.10.021 · Cited by 18 · see citing works
Risk factors for vaginal mesh erosion after sacrocolpopexy in Korean women
Kim, T. Y., & Jeon, M. J. (2020) · PLOS ONE · doi:10.1371/journal.pone.0228566 · Cited by 18 · see citing works
Lakeman, M. M. E., Koops, S. E. S., Berghmans, B. C., & Roovers, J. P. W. R. (2013) · International Urogynecology Journal · doi:10.1007/s00192-012-1973-y · Cited by 14 · see citing works
The impact of diabetes mellitus on pelvic organ prolapse recurrence after robotic sacrocolpopexy
Eckhardt, S., Laus, K., DeAndrade, S., Lee, J., & Nguyen, J. (2023) · International Urogynecology Journal · doi:10.1007/s00192-023-05455-y · Cited by 12 · see citing works
Pelvic floor muscle weakness: a risk factor for anterior vaginal wall prolapse recurrence
Schachar, J. S., Devakumar, H., Martin, L., Farag, S., Hurtado, E. A., & Davila, G. W. (2018) · International Urogynecology Journal · doi:10.1007/s00192-018-3626-2 · Cited by 9 · see citing works
Characteristics Associated With Surgical Failure After Native Tissue Apical Prolapse Repair
Rahn, D. D., Richter, H. E., Sung, V. W., Hynan, L. S., & Pruszynski, J. E. (2024) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000005478 · Cited by 7 · see citing works
McEvoy, K., Griffin, R., Harris, M., Moger, H., Wright, O., Nurkic, I., Thompson, J., Das, R., & Neumann, P. (2023) · International Urogynecology Journal · doi:10.1007/s00192-023-05540-2 · Cited by 6 · see citing works
Mastwyk, S., McClelland, J., Rosamilia, A., & Frawley, H. (2019) · Neurourology and Urodynamics · doi:10.1002/nau.24025 · Cited by 5 · see citing works
Chattot, C., Deffieux, X., Lucot, J.-P., Fritel, X., & Fauconnier, A. (2020) · International Urogynecology Journal · doi:10.1007/s00192-019-03953-6 · Cited by 4 · see citing works
Sacrospinous Hysteropexy With Mesh vs Vaginal Hysterectomy for Treatment of Uterovaginal Prolapse
Nager, C. W., Visco, A. G., Richter, H. E., Rardin, C. R., Meriwether, K., Harvie, H. S., Zyczynski, H. M., Paraiso, M. F. R., Mazloomdoost, D., Sridhar, A., et al. (2026) · JAMA Surgery · doi:10.1001/jamasurg.2026.2263 · Cited by 2 · see citing works
Hafedh, B., Idris, S., Nadreen, F., Banasser, A., Iskandarani, R., & Baradwan, S. (2024) · International Journal of Women's Health · doi:10.2147/ijwh.s474835 · Cited by 1 · see citing works
Kearney, R., Wagg, A., Bower, W., Chapple, C., Khullar, V., Robinson, D., Taithongchai, A., Hobson, P. T., Wein, A., & Abrams, P. (2026) · Neurourology and Urodynamics · doi:10.1002/nau.70272 · Cited by 1 · see citing works
“A similar Australian study from 2010 reported a higher lifetime risk of prolapse surgery of 19% [2].”
- Authors
- Smith, F. J., Holman, C. D. J., Moorin, R. E., & Tsokos, N.
- Affiliations
- The University of Western Australia (AU)
- ORCID
- Moorin, Rachael E.
- Venue
- Obstetrics & Gynecology
- Published
- 2010-11
- Volume
- 116
- Issue
- 5
- Pages
- 1096-1100
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W1975550677
- Cited by
- 822
- References
- 25
- Citations by year
- 2026: 30 · 2025: 57 · 2024: 49 · 2023: 66 · 2022: 63 · 2021: 78 · 2020: 67 · 2019: 52 · 2018: 55 · 2017: 52 · 2016: 56 · 2015: 52 · 2014: 57 · 2013: 33 · 2012: 36
- FWCI
- 18.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- pelvic organ prolapse, prolapse surgery, lifetime risk, age-specific incidence, secular trends, women's health, Western Australia
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Middle Aged, Risk, Western Australia, Incidence, Young Adult, Pelvic Organ Prolapse
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