Should Pelvic Organ Prolapse Surgery and Hysterectomy Be Performed Together?

Contemporaneous surgery was associated with lower rates of reoperation for POP, but higher risk for perioperative complications.

Pelvic organ prolapse (POP), often associated with stress urinary incontinence, results in 300,000 surgeries annually in the U.S. To study outcomes of POP surgery with and without hysterectomy, investigators used California data from 2005 through 2011 to assess reoperation rates and perioperative surgical complications. Among some 94,000 women undergoing index POP surgery, 45% had a concomitant hysterectomy, and 55% did not. Median follow-up was 4.1 years.

Following index POP surgery with or without hysterectomy, reoperation rates were 3.0% versus 4.4%, respectively (relative risk, 0.67; P<0.001). In particular, risk for subsequent surgery to manage anterior, apical, and posterior POP recurrence was significantly reduced among women who had …

Reviewing Author

Robert L. Barbieri, MD

Disclosures

Grant/Research SupportNational Institutes of Health

Editorial BoardsUpToDate

Robert L. Barbieri, MD

Disclosures

Grant/Research SupportNational Institutes of Health

Editorial BoardsUpToDate

Should Pelvic Organ Prolapse Surgery and Hysterectomy Be Performed Together?

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Reviewing Author