Alpha 2.0
Login Register
» Articles » PMID: 17896064

Lifetime Risk of Surgical Management for Pelvic Organ Prolapse or Urinary Incontinence

Overview
Journal Int Urogynecol J Pelvic Floor Dysfunct
Specialties Gynecology & Obstetrics
Urology
Date 2007 Sep 27
PMID 17896064
Citations 77
Authors
M F Fialkow
K M Newton
G M Lentz
N S Weiss
Affiliations
Soon will be listed here.
Abstract

The objective of our study was to estimate the age-specific incidence and lifetime risk of surgically managed pelvic organ prolapse (POP) and urinary incontinence (UI). Women aged 20 and older who underwent primary surgical management of POP or UI in 1993 were identified from the database of a health maintenance organization using ICD-9 codes and confirmed through chart abstraction. From a population of 147,719 women, 135 were identified who underwent prolapse surgery only, 82 incontinence only, and 34 surgery for both conditions. From the age-specific incidence, we estimated the lifetime risk of undergoing an operation by age 80 to be 11.8%. Our findings agree with a previous estimate that approximately 11% of women will undergo surgery for POP or UI by age 80. POP and UI appear to be common problems, undoubtedly affecting an even larger proportion of the women than suggested by this high cumulative incidence of surgery.

Citing Articles

Comprehensive Analysis of the Biomechanical Research of Pelvic Organ Prolapse: A Scientometric Approach.

Du H, Yang M, Qi X, Yang L, Wang Z, Yang T J Multidiscip Healthc. 2025; 18:1249-1268.

PMID: 40046658 PMC: 11881611. DOI: 10.2147/JMDH.S473196.

Pre- and Post-Surgical MRI Analysis of Levator Ani in Pelvic Organ Prolapse Patients: A Single-Center Study.

Wang H, Gao Z, Zhang H, Chen M, Li Y, Shen J Med Sci Monit. 2025; 31:e945993.

PMID: 39949036 PMC: 11834313. DOI: 10.12659/MSM.945993.

Modification of transvaginal polypropylene mesh with co-axis electrospun nanofibrous membrane to alleviate complications following surgical implantation.

Guo T, Hu X, Du Z, Wang X, Lang J, Liu J J Nanobiotechnology. 2024; 22(1):598.

PMID: 39363196 PMC: 11447934. DOI: 10.1186/s12951-024-02872-z.

A Modified McCall Culdoplasty in Pelvic Organ Prolapse Surgery: Anatomical and Functional Outcomes.

Ettore G, Torrisi G, Grimaldi R, Ettore C Int Urogynecol J. 2024; 35(12):2341-2348.

PMID: 39110177 DOI: 10.1007/s00192-024-05886-1.

Mid-term outcomes of laparoscopic vaginal stump–round (Kakinuma method) and stump–uterosacral (Shull method) ligament fixation for pelvic organ prolapse: A retrospective comparative study.

Kakinuma T, Kakinuma K, Ueyama K, Shinohara T, Okamoto R, Imai K BMC Surg. 2024; 24(1):137.

PMID: 38711094 PMC: 11071197. DOI: 10.1186/s12893-024-02429-9.

References
1.
Samuelsson E, Victor F, Tibblin G, Svardsudd K . Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol. 1999; 180(2 Pt 1):299-305. DOI: 10.1016/s0002-9378(99)70203-6. View
2.
Handa V, Garrett E, Hendrix S, Gold E, Robbins J . Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol. 2004; 190(1):27-32. DOI: 10.1016/j.ajog.2003.07.017. View
3.
Olsen A, Smith V, Bergstrom J, Colling J, Clark A . Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997; 89(4):501-6. DOI: 10.1016/S0029-7844(97)00058-6. View
4.
Swift S, Woodman P, OBoyle A, Kahn M, Valley M, Bland D . Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005; 192(3):795-806. DOI: 10.1016/j.ajog.2004.10.602. View
5.
Tegerstedt G, Maehle-Schmidt M, Nyren O, Hammarstrom M . Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct. 2005; 16(6):497-503. DOI: 10.1007/s00192-005-1326-1. View