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International Urogynecology Journal

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01-01-2012 | Original Article

Vaginal hysterectomy and risk of pelvic organ prolapse and stress urinary incontinence surgery

Authors: Catharina Forsgren, Cecilia Lundholm, Anna L. V. Johansson, Sven Cnattingius, Jan Zetterström, Daniel Altman

Published in: International Urogynecology Journal | Issue 1/2012

Abstract

Introduction and hypothesis

This study aims to determine the risk of pelvic organ prolapse (POP) and stress urinary incontinence (SUI) surgery related to mode of hysterectomy focusing on vaginal hysterectomy.

Methods

We performed a nationwide cohort study. Women exposed to hysterectomy on benign indications (n = 118,601) were compared to women unexposed to hysterectomy (n = 579,200). The outcome was defined as first occurrence of POP or SUI surgery. Hazard ratios (HRs) were calculated with 95% confidence intervals (CIs) using Cox proportional-hazards models.

Results

The greatest risks of POP (HR 4.9, 95% CI 3.4–6.9) or SUI surgery (HR 6.3, 95% CI 4.4–9.1) were observed subsequent to vaginal hysterectomy for pelvic organ prolapse. Having a vaginal hysterectomy for other reasons also significantly increased the risks of POP and SUI surgery compared to other modes of hysterectomy.

Conclusions

Hysterectomy in general, in particular vaginal hysterectomy, was associated with an increased risk for subsequent POP and SUI surgery.

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Title: Vaginal hysterectomy and risk of pelvic organ prolapse and stress urinary incontinence surgery
Authors: Catharina Forsgren
Cecilia Lundholm
Anna L. V. Johansson
Sven Cnattingius
Jan Zetterström
Daniel Altman
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 1/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1523-z

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Vaginal hysterectomy and risk of pelvic organ prolapse and stress urinary incontinence surgery

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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