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Published in: International Urogynecology Journal 3/2008

01-03-2008 | Original Article

The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA

Authors: Aparna D. Shah, Neeraj Kohli, Sujatha S. Rajan, Lennox Hoyte

Published in: International Urogynecology Journal | Issue 3/2008

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Abstract

The objective of this study was to describe the distribution of pelvic organ prolapse (POP) surgery across age groups in the USA in 2003. Patients were grouped into four age categories: Reproductive age, perimenopausal, postmenopausal, and elderly. Data from the 2003 National Hospital Discharge Survey and National Census were used to estimate surgical rates by age group. In 2003, 199,698 women underwent a total of 311,587 surgical procedures for POP. Prolapse surgical rates (per 10,000 women) were 7, 24, 31, and 17 in reproductive age, perimenopausal, postmenopausal, and elderly age groups, respectively. Surgical complications occurred in 28.8, 19.6, 18.6, and 22.1% of women in these age groups, respectively. Mortality was uncommon. Although often considered a condition of the elderly, this study suggests that pelvic organ prolapse is a condition affecting women across the reproductive life cycle and for which women of all ages seek surgical treatment.
Literature
1.
2.
go back to reference Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRef Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRef
3.
go back to reference Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 183:277–285PubMedCrossRef Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 183:277–285PubMedCrossRef
4.
go back to reference Swift S, Woodman P, O’Boyle A, Kahn M, Valley M, Bland D, Wang W, Schaffer J (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192:795–806PubMedCrossRef Swift S, Woodman P, O’Boyle A, Kahn M, Valley M, Bland D, Wang W, Schaffer J (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192:795–806PubMedCrossRef
5.
go back to reference Jorgensen S, Hein HO, Gyntelberg F (1994) Heavy lifting at work and risk of genital prolapse and herniated lumbar disc in assistant nurses. Occup Med (Lond) 44:47–49CrossRef Jorgensen S, Hein HO, Gyntelberg F (1994) Heavy lifting at work and risk of genital prolapse and herniated lumbar disc in assistant nurses. Occup Med (Lond) 44:47–49CrossRef
6.
go back to reference Erata YE, Kilic B, Guclu S, Saygili U, Uslu T (2002) Risk factors for pelvic surgery. Arch Gynecol Obstet 267:14–18PubMedCrossRef Erata YE, Kilic B, Guclu S, Saygili U, Uslu T (2002) Risk factors for pelvic surgery. Arch Gynecol Obstet 267:14–18PubMedCrossRef
7.
go back to reference Dennison C, Pokras R (2000) Design and operation of the National Hospital Discharge Survey: 1988 redesign. Vital Health Stat 1 39:1–42PubMed Dennison C, Pokras R (2000) Design and operation of the National Hospital Discharge Survey: 1988 redesign. Vital Health Stat 1 39:1–42PubMed
8.
go back to reference Gurel H, Gurel SA (1999) Pelvic relaxation and associated risk factors: the results of logistic regression analysis. Acta Obstet Gynecol Scand 78:290–293PubMedCrossRef Gurel H, Gurel SA (1999) Pelvic relaxation and associated risk factors: the results of logistic regression analysis. Acta Obstet Gynecol Scand 78:290–293PubMedCrossRef
9.
go back to reference Lukman Y (1995) Utero-vaginal prolapse: a rural disability of the young. East Afr Med J 72:2–9PubMed Lukman Y (1995) Utero-vaginal prolapse: a rural disability of the young. East Afr Med J 72:2–9PubMed
10.
go back to reference Kim S, Harvey MA, Johnston S (2005) A review of the epidemiology and pathophysiology of pelvic floor dysfunction: do racial differences matter? J Obstet Gynaecol Can 27:251–259PubMed Kim S, Harvey MA, Johnston S (2005) A review of the epidemiology and pathophysiology of pelvic floor dysfunction: do racial differences matter? J Obstet Gynaecol Can 27:251–259PubMed
11.
go back to reference Barber MD, Amundsen CL, Paraiso MF, Weidner AC, Romero A, Walters MD (2006) Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery. Int Urogynecol J Pelvic Floor Dysfunct 18:799–806PubMed Barber MD, Amundsen CL, Paraiso MF, Weidner AC, Romero A, Walters MD (2006) Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery. Int Urogynecol J Pelvic Floor Dysfunct 18:799–806PubMed
12.
go back to reference Schweitzer KJ, Vierhout ME, Milani AL (2005) Surgery for pelvic organ prolapse in women of 80 years of age and older. Acta Obstet Gynecol Scand 84:286–289PubMedCrossRef Schweitzer KJ, Vierhout ME, Milani AL (2005) Surgery for pelvic organ prolapse in women of 80 years of age and older. Acta Obstet Gynecol Scand 84:286–289PubMedCrossRef
13.
go back to reference Carey JM, Leach GE (2004) Transvaginal surgery in the octogenarian using cadaveric fascia for pelvic prolapse and stress incontinence: minimal one-year results compared to younger patients. Urology 63:665–670PubMedCrossRef Carey JM, Leach GE (2004) Transvaginal surgery in the octogenarian using cadaveric fascia for pelvic prolapse and stress incontinence: minimal one-year results compared to younger patients. Urology 63:665–670PubMedCrossRef
14.
go back to reference Sharp VJ, Bradley CS, Kreder KJ (2006) Incontinence surgery in the older woman. Curr Opin Urol 16:224–228PubMedCrossRef Sharp VJ, Bradley CS, Kreder KJ (2006) Incontinence surgery in the older woman. Curr Opin Urol 16:224–228PubMedCrossRef
15.
go back to reference Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef
16.
go back to reference Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–1421PubMedCrossRef Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–1421PubMedCrossRef
17.
go back to reference Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schluter PJ (2004) Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 190:20–26PubMedCrossRef Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schluter PJ (2004) Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 190:20–26PubMedCrossRef
18.
go back to reference Demirci F, Ozdemir I, Somunkiran A, Topuz S, Iyibozkurt C, Duras DG, Kemik GO, Gul B (2007) Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Int Urogynecol J Pelvic Floor Dysfunct 18:257–261PubMedCrossRef Demirci F, Ozdemir I, Somunkiran A, Topuz S, Iyibozkurt C, Duras DG, Kemik GO, Gul B (2007) Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Int Urogynecol J Pelvic Floor Dysfunct 18:257–261PubMedCrossRef
19.
go back to reference Strohbehn K, Jakary JA, DeLancey JO (1997) Pelvic organ prolapse in young women. Obstet Gynecol 90:33–36PubMedCrossRef Strohbehn K, Jakary JA, DeLancey JO (1997) Pelvic organ prolapse in young women. Obstet Gynecol 90:33–36PubMedCrossRef
20.
go back to reference Gillum BS, Graves EJ, Wood E (1998) National hospital discharge survey. Vital Health Stat 13 133:1–51 Gillum BS, Graves EJ, Wood E (1998) National hospital discharge survey. Vital Health Stat 13 133:1–51
Metadata
Title
The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA
Authors
Aparna D. Shah
Neeraj Kohli
Sujatha S. Rajan
Lennox Hoyte
Publication date
01-03-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 3/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-007-0457-y

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