Risk factors for the recurrence of pelvic organ prolapse after vaginal surgery: a review at 5 years after surgery

The objective of this study was to determine the factors associated with the anatomic and functional recurrence of prolapse. An examination was performed in 134 of the 228 patients who underwent primary vaginal surgery for prolapse of the pelvic organs (POP) between 2000 and 2001. Anatomical recurre...

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Bibliographic Details
Published in:International Urogynecology Journal 2007-11, Vol.18 (11), p.1317-1324
Main Authors: Diez-Itza, I., Aizpitarte, I., Becerro, A.
Format: Article
Language:English
Subjects:
Gynecology
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Summary:The objective of this study was to determine the factors associated with the anatomic and functional recurrence of prolapse. An examination was performed in 134 of the 228 patients who underwent primary vaginal surgery for prolapse of the pelvic organs (POP) between 2000 and 2001. Anatomical recurrence of the prolapse was established by pelvic examination using the pelvic organ prolapse quantification (POPQ) staging system. Functional results were obtained by interview with the patients. Descriptive statistical analyses and multivariate logistic regression were performed to determine the factors associated with recurrence. Five years after surgery, 42 women (31.3%) presented anatomical recurrence of the prolapse (grade≥II), and only 10 of the 134 (7.4%) had prolapse-related symptoms. Those with high body weight (>65 kg) and younger women (
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-007-0321-0