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

被引：0
作者：
Patrick Dällenbach
Isabelle Kaelin-Gambirasio
Sandrine Jacob
Jean-Bernard Dubuisson
Michel Boulvain
机构：
[1] University Hospitals of Geneva,Department of Gynecology and Obstetrics, Division of Gynecology, Perineology Unit
[2] University of Geneva,Department of Gynecology and Obstetrics, Division of Obstetrics, Clinical Research Unit, University Hospitals of Geneva
来源：
International Urogynecology Journal | 2008年 / 19卷
关键词：
Case control study; Hysterectomy; Incidence; Risk factors; Vault prolapse;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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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页码：1623 / 1629
页数：6
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