Apical support at the time of hysterectomy for uterovaginal prolapse

Introduction and hypothesis The aim was to determine factors associated with performing concurrent apical support procedures in hysterectomies carried out for uterovaginal prolapse. Methods Hysterectomies performed for uterovaginal prolapse from 2000 to 2010 were identified by ICD-9 codes. Uterovagi...

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Bibliographic Details
Published in:International Urogynecology Journal 2015-02, Vol.26 (2), p.207-212
Main Authors: Kantartzis, Kelly L., Turner, Lindsay C., Shepherd, Jonathan P., Wang, Li, Winger, Daniel G., Lowder, Jerry L.
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Chi-Square Distribution
Cystocele - complications
Cystocele - surgery
Female
General Surgery - education
General Surgery - statistics & numerical data
Guideline Adherence - statistics & numerical data
Gynecology
Gynecology - education
Gynecology - statistics & numerical data
Humans
Hysterectomy, Vaginal - adverse effects
Hysterectomy, Vaginal - statistics & numerical data
Laparoscopy - adverse effects
Laparoscopy - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Original Article
Ovariectomy - statistics & numerical data
Practice Patterns, Physicians' - statistics & numerical data
Rectocele - complications
Rectocele - surgery
Retrospective Studies
Salpingectomy - statistics & numerical data
Urinary Incontinence - therapy
Urology
Urology - education
Urology - statistics & numerical data
Uterine Prolapse - complications
Uterine Prolapse - surgery
Vagina - surgery
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Summary:Introduction and hypothesis The aim was to determine factors associated with performing concurrent apical support procedures in hysterectomies carried out for uterovaginal prolapse. Methods Hysterectomies performed for uterovaginal prolapse from 2000 to 2010 were identified by ICD-9 codes. Uterovaginal prolapse was a proxy for apical descent. Primary outcome was the rate of concurrent apical procedures. Secondary outcomes included concurrent surgeries, complications, and surgeon training. Chi-squared tests compared categorical variables. Logistic regression determined factors associated with concurrent apical support. Results A total of 2,465 hysterectomies were performed for uterovaginal prolapse. In only 1,358 cases (55.1 %) were concurrent apical support procedures carried out. Cases without apical procedures were more likely to undergo cystocele repair (23.8 % vs 9.4 %, p  
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-014-2474-y