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Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy

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Abstract

Our objective was to estimate the incidence and identify the risk factors for vaginal vault prolapse repair after hysterectomy. We conducted a case control study among 6,214 women who underwent hysterectomy from 1982 to 2002. Cases (n = 32) were women who required vaginal vault suspension following the hysterectomy through December 2005. Controls (n = 236) were women, randomly selected from the same cohort, who did not require pelvic organ prolapse surgery. The incidence of vaginal vault prolapse repair was 0.36 per 1,000 women-years. The cumulative incidence was 0.5%. Risk factors included preoperative prolapse (odds ratio (OR) 6.6; 95% confidence interval (CI) 1.5–28.4) and sexual activity (OR 1.3; 95% CI 1.0–1.5). Vaginal hysterectomy was not a risk factor when preoperative prolapse was taken into account (OR 0.9; 95% CI 0.5–1.8).Vaginal vault prolapse repair after hysterectomy is an infrequent event and is due to preexisting weakness of pelvic tissues.

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Abbreviations

POP:

pelvic organ prolapse

OR:

odds ratio

CI:

confidence interval

TAH:

total abdominal hysterectomy

VH:

vaginal hysterectomy

LAVH:

laparoscopic-assisted vaginal hysterectomy

TLH:

total laparoscopic hysterectomy

BMI:

body mass index

HT:

hormonal replacement therapy

USO:

unilateral salpingo-oophorectomy

BSO:

bilateral salpingo-oophorectomy

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Acknowledgements and funding source

This study was conducted with the support of the Department of Gynecology and Obstetrics of the University of Geneva.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Division of Gynecology, Perineology Unit, University Hospitals of Geneva, 30 boulevard de la Cluse, 1211, Geneva, Switzerland

    Patrick Dällenbach, Isabelle Kaelin-Gambirasio, Sandrine Jacob & Jean-Bernard Dubuisson

  2. Department of Gynecology and Obstetrics, Division of Obstetrics, Clinical Research Unit, University Hospitals of Geneva, University of Geneva, Geneva, Switzerland

    Michel Boulvain

Authors
  1. Patrick Dällenbach
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  2. Isabelle Kaelin-Gambirasio
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  3. Sandrine Jacob
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  4. Jean-Bernard Dubuisson
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  5. Michel Boulvain
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Corresponding author

Correspondence to Patrick Dällenbach.

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Dällenbach, P., Kaelin-Gambirasio, I., Jacob, S. et al. Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy. Int Urogynecol J 19, 1623–1629 (2008). https://doi.org/10.1007/s00192-008-0718-4

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  • DOI: https://doi.org/10.1007/s00192-008-0718-4

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