Incidence of pelvic floor repair after hysterectomy: A population-based cohort study.
OBJECTIVE
The objective of the study was to assess the incidence of and risk factors for pelvic floor repair (PFR) procedures after hysterectomy.


METHODS
Using the Rochester Epidemiology Project database, we tracked the incidence of PFRs through June 2006 among 8220 Olmsted County, MN, women who had a hysterectomy for benign indications between 1965 and 2002.


RESULTS
The cumulative incidence of PFR after hysterectomy was 5.1% by 30 years. This risk was not influenced by age at hysterectomy or calendar period. Future PFR was more frequently required in women who had prolapse, whether they underwent a hysterectomy alone (eg, vaginal [hazard ratio (HR) 4.3; 95% confidence interval (CI) 2.5 to 7.3], abdominal [HR 3.9; 95% CI 1.9 to 8.0]) or a hysterectomy and PFR (ie, vaginal [HR 1.9; 95% CI 1.3 to 2.7] or abdominal [HR 2.9; 95% CI 1.5 to 5.5]).


CONCLUSIONS
Compared with women without prolapse, women who had a hysterectomy for prolapse were at increased risk for subsequent PFR.
Blandon
Roberta E
RE
Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Bharucha
Adil E
AE
Melton
L Joseph
LJ
Schleck
Cathy D
CD
Babalola
Ebenezer O
EO
Zinsmeister
Alan R
AR
Gebhart
John B
JB
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D015994:Incidence; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery*; D012189:Retrospective Studies; D014596:Uterine Prolapse / Q000601:surgery*