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Years from menopause-to-surgery is a major factor in the post-operative subjective outcome for pelvic organ prolapse

International Urogynecology Journal volume 21, pages 969–975 (2010)Cite this article

Abstract

Introduction and hypothesis

The purpose of the current study was to determine the main factors associated with post-operative subjective outcome in post-menopausal patients with pelvic organ prolapse.

Methods

Ninety-four women were selected among patients who underwent surgery for grade 3 or 4 prolapse. The outcome was evaluated by the Patient Global Impression of Improvement (PGI-I) scale. Multivariate ordinal regression analysis was performed.

Results

The number of patients with improvement (1 or 2 on the PGI-I scale) was 88 (93.7%). Age and years from menopause-to-surgery were negatively (β = −0.16, P = 0.01) and positively (β = 0.14, P = 0.01) associated with the PGI-I scale. The aging effect was lost after adjusting for prolapse grade.

Conclusion

The greater the number of years from menopause-to-pelvic organ prolapse surgery, the less satisfied were the patients. The association between older patients and greater satisfaction appears to be a confounding effect of prolapse grade.

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Affiliations

  1. Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea

    Ki Hoon Ahn, Tak Kim, Jun Young Hur, Sun Haeng Kim & Kyu Wan Lee

  2. Department of Obstetrics and Gynecology, Korea University Anam Hospital, Korea University College of Medicine, 126-1, 5-ga, Anam-dong, Seongbuk-gu, Seoul, 136-705, Korea

    Young Tae Kim

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  1. Ki Hoon Ahn
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  2. Tak Kim
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  3. Jun Young Hur
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  4. Sun Haeng Kim
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  5. Kyu Wan Lee
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Correspondence to Young Tae Kim.

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Ahn, K.H., Kim, T., Hur, J.Y. et al. Years from menopause-to-surgery is a major factor in the post-operative subjective outcome for pelvic organ prolapse. Int Urogynecol J 21, 969–975 (2010). https://doi.org/10.1007/s00192-010-1133-1

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  • DOI: https://doi.org/10.1007/s00192-010-1133-1

Keywords

  • Years from menopause-to-surgery
  • Patient global impression of improvement
  • Pelvic organ prolapse