Surgery for Prolapse

Despite the fact that pelvic organ prolapse is one of the most common indications for gynecologic surgery, there is little epidemiologic information regarding surgical procedures for prolapse. In a 1997 survey, approximately 226000 women underwent surgery for pelvic organ prolapse in the United States, making prolapse one of the most common indications for gynecologic surgery.1 The average age of women undergoing prolapse surgery was 55 years. The overall rate of pelvic organ prolapse surgery was 22.7 per 10000 women in the United States. This increased with age to a peak rate of 42.1 per 10000 women aged 60 to 69 years. Vaginal hysterectomy with rectocele and cystocele repair was the most common surgery performed. There was a higher percentage of women aged 70 to 79 years compared with the other age groups that underwent vault fixation or suspension. Women in the southern part of the United States were more likely to undergo surgery for prolapse than women in the midwest or northern states (29.3 per 10000 vs. 21.7 per 10000 vs. 19.1 per 10000, respectively). In addition, women aged 30 to 39 and 70 to 79 years in the South were six times more likely to have prolapse surgery than women in the Northeast.1 The Oxford Family Planning Association followed up more than 17000 women aged 25 to 39 years for approximately 26 years. The annual incidence of hospital admission with a diagnosis of prolapse was 0.204%, whereas the annual incidence of surgery for prolapse was 0.162%.2 Depending on the population studied, up to 14% of all hysterectomies performed are for genital prolapse.

In a study to review the trends in surgery performed for pelvic organ prolapse from 1979 to 1997, there was a decrease in the number of surgeries performed for prolapse, including hysterectomy (abdominal and vaginal), as well as rectocele and cystocele procedures. However, there was an increase in vaginal vault suspensions and fixations.3

Pregnancy Guide

Pregnancy Guide

A Beginner's Guide to Healthy Pregnancy. If you suspect, or know, that you are pregnant, we ho pe you have already visited your doctor. Presuming that you have confirmed your suspicions and that this is your first child, or that you wish to take better care of yourself d uring pregnancy than you did during your other pregnancies; you have come to the right place.

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