title: Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy.
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.
authors.affiliation: Department of Gynecology and Obstetrics, Division of Gynecology, Perineology Unit, University Hospitals of Geneva, 30 boulevard de la Cluse, 1211, Geneva, Switzerland. Patrick.Dallenbach@hcuge.ch
authors.forename: Patrick
authors.initials: P
authors.lastname: Dällenbach
authors.forename: Isabelle
authors.initials: I
authors.lastname: Kaelin-Gambirasio
authors.forename: Sandrine
authors.initials: S
authors.lastname: Jacob
authors.forename: Jean-Bernard
authors.initials: JB
authors.lastname: Dubuisson
authors.forename: Michel
authors.initials: M
authors.lastname: Boulvain
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D052858:Cystocele / Q000453:epidemiology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007045:Hysterectomy, Vaginal; D015994:Incidence; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012307:Risk Factors; D014596:Uterine Prolapse / Q000453:epidemiology / Q000601:surgery*
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