Skip to main content
Top
Published in: International Urogynecology Journal 9/2008

01-09-2008 | Original Article

Utilization of surgical procedures for pelvic organ prolapse: a population-based study in Olmsted County, Minnesota, 1965–2002

Authors: Ebenezer O. Babalola, Adil E. Bharucha, L. Joseph Melton III, Cathy D. Schleck, Alan R. Zinsmeister, Christopher J. Klingele, John B. Gebhart

Published in: International Urogynecology Journal | Issue 9/2008

Login to get access

Abstract

To describe trends in the utilization of surgical procedures for pelvic organ prolapse among women in Olmsted County, MN, we retrospectively identified all county residents undergoing pelvic organ prolapse repair from January 1, 1965 through December 31, 2002. From 1965 to 2002, 3,813 women had pelvic organ prolapse surgeries: 3,126 had hysterectomy combined with pelvic floor repair (PFR) procedures and 687 had PFR alone. The age-adjusted utilization of hysterectomy plus PFR and of PFR alone decreased by 62% (P < 0.001) and 32% (P = 0.02), respectively. In both groups, utilization decreased in all age groups over time except in women aged 80 years and older undergoing hysterectomy plus PFR and women aged 70 years and older undergoing PFR only. The most common indication for PFR was uterovaginal prolapse. Among women in the community, the rate of utilization and age distribution of pelvic organ prolapse surgery changed substantially between 1965 and 2002.
Literature
1.
go back to reference MacLennan AH, Taylor AW, Wilson DH, Wilson D (2000) The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG 107:1460–1470PubMedCrossRef MacLennan AH, Taylor AW, Wilson DH, Wilson D (2000) The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG 107:1460–1470PubMedCrossRef
2.
go back to reference Brown JS, Waetjen LE, Subak LL, Thom DH, Van den Eeden S, Vittinghoff E (2002) Pelvic organ prolapse surgery in the United States, 1997. Am J Obstet Gynecol 186:712–716PubMedCrossRef Brown JS, Waetjen LE, Subak LL, Thom DH, Van den Eeden S, Vittinghoff E (2002) Pelvic organ prolapse surgery in the United States, 1997. Am J Obstet Gynecol 186:712–716PubMedCrossRef
3.
go back to reference Boyles SH, Weber AM, Meyn L (2003) Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol 188:108–115PubMedCrossRef Boyles SH, Weber AM, Meyn L (2003) Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol 188:108–115PubMedCrossRef
4.
go back to reference Allard P, Rochette L (1991) The descriptive epidemiology of hysterectomy, Province of Quebec, 1981–1988. Ann Epidemiol 1:541–549PubMedCrossRef Allard P, Rochette L (1991) The descriptive epidemiology of hysterectomy, Province of Quebec, 1981–1988. Ann Epidemiol 1:541–549PubMedCrossRef
5.
go back to reference Weber AM, Lee JC (1996) Use of alternative techniques of hysterectomy in Ohio, 1988–1994. N Engl J Med 335:483–489 Erratum in: N Engl J Med 335:1406PubMedCrossRef Weber AM, Lee JC (1996) Use of alternative techniques of hysterectomy in Ohio, 1988–1994. N Engl J Med 335:483–489 Erratum in: N Engl J Med 335:1406PubMedCrossRef
6.
go back to reference Weaver F, Hynes D, Goldberg JM, Khuri S, Daley J, Henderson W (2001) Hysterectomy in Veterans Affairs Medical Centers. Obstet Gynecol 97:880–884PubMedCrossRef Weaver F, Hynes D, Goldberg JM, Khuri S, Daley J, Henderson W (2001) Hysterectomy in Veterans Affairs Medical Centers. Obstet Gynecol 97:880–884PubMedCrossRef
7.
go back to reference Farquhar CM, Steiner CA (2002) Hysterectomy rates in the United States 1990–1997. Obstet Gynecol 99:229–234PubMedCrossRef Farquhar CM, Steiner CA (2002) Hysterectomy rates in the United States 1990–1997. Obstet Gynecol 99:229–234PubMedCrossRef
8.
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
9.
go back to reference Samuelsson EC, Victor FT, Tibblin G, Svardsudd KF (1999) Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 180:299–305PubMedCrossRef Samuelsson EC, Victor FT, Tibblin G, Svardsudd KF (1999) Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 180:299–305PubMedCrossRef
10.
go back to reference Gemer O, Bergman M, Segal S (1999) Prevalence of hydronephrosis in patients with genital prolapse. Eur J Obstet Gynecol Reprod Biol 86:11–13PubMedCrossRef Gemer O, Bergman M, Segal S (1999) Prevalence of hydronephrosis in patients with genital prolapse. Eur J Obstet Gynecol Reprod Biol 86:11–13PubMedCrossRef
11.
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
12.
go back to reference Gungor T, Ekin M, Dogan M, Mungan T, Ozcan U, Gokmen O (1997) Influence of anterior colporrhaphy with colpoperineoplasty operations for stress incontinence and/or genital descent on sexual life. J Pak Med Assoc 47:248–250PubMed Gungor T, Ekin M, Dogan M, Mungan T, Ozcan U, Gokmen O (1997) Influence of anterior colporrhaphy with colpoperineoplasty operations for stress incontinence and/or genital descent on sexual life. J Pak Med Assoc 47:248–250PubMed
13.
go back to reference Melton LJ III (1996) History of the Rochester Epidemiology Project. Mayo Clin Proc 71:266–274PubMed Melton LJ III (1996) History of the Rochester Epidemiology Project. Mayo Clin Proc 71:266–274PubMed
15.
go back to reference Gabriel SE, O’Fallon WM, Beard CM, Kurland LT, Woods JE, Melton LJ III (1995) Trends in the utilization of silicone breast implants, 1964–1991, and methodology for a population-based study of outcomes. J Clin Epidemiol 48:527–537PubMedCrossRef Gabriel SE, O’Fallon WM, Beard CM, Kurland LT, Woods JE, Melton LJ III (1995) Trends in the utilization of silicone breast implants, 1964–1991, and methodology for a population-based study of outcomes. J Clin Epidemiol 48:527–537PubMedCrossRef
16.
go back to reference Melton LJ III, Alothman KI, Achenbach SJ, O’Fallon WM, Zincke H (2001) Decline in bilateral orchiectomy for prostate cancer in Olmsted county, Minnesota, 1956–2000. Mayo Clin Proc 76:1199–1203PubMedCrossRef Melton LJ III, Alothman KI, Achenbach SJ, O’Fallon WM, Zincke H (2001) Decline in bilateral orchiectomy for prostate cancer in Olmsted county, Minnesota, 1956–2000. Mayo Clin Proc 76:1199–1203PubMedCrossRef
17.
go back to reference Ghosh K, Melton LJ III, Suman VJ, Grant CS, Sterioff S, Brandt KR et al (2005) Breast biopsy utilization: a population-based study. Arch Intern Med 165:1593–1598PubMedCrossRef Ghosh K, Melton LJ III, Suman VJ, Grant CS, Sterioff S, Brandt KR et al (2005) Breast biopsy utilization: a population-based study. Arch Intern Med 165:1593–1598PubMedCrossRef
18.
go back to reference Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Morrow B, Kieke BA et al (1997) Hysterectomy surveillance: United States, 1980–1993. Morb Mortal Wkly Rep CDC Surveill Summ 46:1–15 Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Morrow B, Kieke BA et al (1997) Hysterectomy surveillance: United States, 1980–1993. Morb Mortal Wkly Rep CDC Surveill Summ 46:1–15
19.
go back to reference Bergstralh EJ, Offord KP, Chu CP, Beard CM, O’Fallon WM, Melton LJ III (1992) Calculating incidence: prevalence and mortalities for Olmsted County, Minnesota: an update. Rochester, Minnesota, Mayo Clinic Department of Health Sciences Research, Section of Biostatistics. Technical report No.: 49 Bergstralh EJ, Offord KP, Chu CP, Beard CM, O’Fallon WM, Melton LJ III (1992) Calculating incidence: prevalence and mortalities for Olmsted County, Minnesota: an update. Rochester, Minnesota, Mayo Clinic Department of Health Sciences Research, Section of Biostatistics. Technical report No.: 49
20.
go back to reference Beyer WH (1966) CRC handbook of tables for probability and statistics. Chemical Rubber Company, Cleveland, Ohio Beyer WH (1966) CRC handbook of tables for probability and statistics. Chemical Rubber Company, Cleveland, Ohio
21.
22.
go back to reference Babalola EO, Bharucha AE, Schleck CD, Gebhart JB, Zinsmeister AR, Melton LJ III (2007) Decreasing utilization of hysterectomy: a population-based study in Olmsted County, Minnesota, 1965–2002. Am J Obstet Gynecol 196:214.e1–214.e7 DOI 10.1016/j.ajog.2006.10.390 CrossRef Babalola EO, Bharucha AE, Schleck CD, Gebhart JB, Zinsmeister AR, Melton LJ III (2007) Decreasing utilization of hysterectomy: a population-based study in Olmsted County, Minnesota, 1965–2002. Am J Obstet Gynecol 196:214.e1–214.e7 DOI 10.​1016/​j.​ajog.​2006.​10.​390 CrossRef
23.
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
24.
go back to reference Mant J, Painter R, Vessey M (1997) Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol 104:579–585PubMed Mant J, Painter R, Vessey M (1997) Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol 104:579–585PubMed
25.
go back to reference Dällenbach P, Kaelin-Gambirasio I, Dubuisson JB, Boulvain M (2007) Risk factors for pelvic organ prolapse repair after hysterectomy. Obstet Gynecol 110:625–632PubMed Dällenbach P, Kaelin-Gambirasio I, Dubuisson JB, Boulvain M (2007) Risk factors for pelvic organ prolapse repair after hysterectomy. Obstet Gynecol 110:625–632PubMed
26.
go back to reference Blandon RE, Bharucha AE, Melton LJ 3rd, Schleck CD, Babalola EO, Zinsmeister AR et al (2007) Incidence of pelvic floor repair after hysterectomy: a population-based cohort study. Am J Obstet Gynecol 197:664.e1–e7CrossRef Blandon RE, Bharucha AE, Melton LJ 3rd, Schleck CD, Babalola EO, Zinsmeister AR et al (2007) Incidence of pelvic floor repair after hysterectomy: a population-based cohort study. Am J Obstet Gynecol 197:664.e1–e7CrossRef
27.
go back to reference Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166PubMedCrossRef Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186:1160–1166PubMedCrossRef
28.
go back to reference Luber KM, Boero S, Choe JY (2001) The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol 184:1496–1501PubMedCrossRef Luber KM, Boero S, Choe JY (2001) The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol 184:1496–1501PubMedCrossRef
29.
go back to reference Stepp KJ, Barber MD, Yoo EH, Whiteside JL, Paraiso MF, Walters MD (2005) Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol 192:1630–1636PubMedCrossRef Stepp KJ, Barber MD, Yoo EH, Whiteside JL, Paraiso MF, Walters MD (2005) Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol 192:1630–1636PubMedCrossRef
Metadata
Title
Utilization of surgical procedures for pelvic organ prolapse: a population-based study in Olmsted County, Minnesota, 1965–2002
Authors
Ebenezer O. Babalola
Adil E. Bharucha
L. Joseph Melton III
Cathy D. Schleck
Alan R. Zinsmeister
Christopher J. Klingele
John B. Gebhart
Publication date
01-09-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 9/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-008-0613-z

Other articles of this Issue 9/2008

International Urogynecology Journal 9/2008 Go to the issue