Risk factors for vaginal prolapse after hysterectomy |
| |
Authors: | Adolf Lukanovi? Katarina Dra?i? |
| |
Institution: | a Department of Obstetrics and Gynecology, University Medical Center Ljubljana, Ljubljana, Slovenia b Department of Obstetrics and Gynecology, General Hospital Jesenice, Slovenia |
| |
Abstract: | ObjectiveTo identify risk factors for pelvic organ prolapse (POP) and their influence on the occurrence of vaginal prolapse after hysterectomy.MethodsMedical records from 2 groups of women who had undergone hysterectomy were reviewed retrospectively. The study group was 82 women who had undergone surgery for vaginal prolapse after hysterectomy; the control group was 124 women who had undergone hysterectomy with no diagnosis of vaginal prolapse by the time of the study. All hysterectomy procedures had been performed for benign gynecological disease, including POP. Both groups of women completed a self-administered questionnaire to obtain additional information on the occurrence of POP.ResultsThe incidence of vaginal prolapse after hysterectomy was significantly higher in women with a higher number of vaginal deliveries, more difficult deliveries, fewer cesareans, complications after hysterectomy, heavy physical work, neurological disease, hysterectomy for pelvic organ prolapse, and/or a family history of pelvic organ prolapse. Premenopausal women had vaginal prolapse corrected an average of 16 years after hysterectomy, and postmenopausal women 7 years post hysterectomy.ConclusionBefore deciding on hysterectomy as the approach to treat a woman with pelvic floor dysfunction, the surgeon should evaluate these risk factors and discuss them with the patient. |
| |
Keywords: | Hysterectomy Pelvic organ prolapse Risk factors |
本文献已被 ScienceDirect 等数据库收录! |
|