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Rigshospitalet - en del af Københavns Universitetshospital
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Incidence of pelvic organ prolapse repair subsequent to hysterectomy: a comparison between radical hysterectomy and total abdominal hysterectomy

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DOI

  1. Pelvic organ prolapse surgery after native tissue vault suspension at hysterectomy-A prospective cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. No evidence of association between native tissue vault suspension and risk of pelvic pain or sexual dysfunction

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Type I Versus Type II Endometrial Cancer: Differential Impact of Comorbidity

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Ovarian Cancer and Comorbidity: Is Poor Survival Explained by Choice of Primary Treatment or System Delay?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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INTRODUCTION AND HYPOTHESIS: The aim of this study was to compare the incidence of subsequent pelvic organ prolapse (POP) repair in women following radical hysterectomy versus total abdominal hysterectomy.

METHODS: From the Danish National Patient Registry, we collected data on all radical hysterectomies, all total abdominal hysterectomies, and all POP operations performed in Denmark from 1 January 1977 to 31 December 2009. We excluded patients with prior POP repair, POP diagnosis, or concomitant POP repair at hysterectomy. We analyzed the incidence of POP surgery using Kaplan-Meier curves and hazard ratio (HR).

RESULTS: In all, 5279 women underwent radical hysterectomy, and 63 of these underwent subsequent POP surgery. In the same period, 149,920 women underwent total abdominal hysterectomy, and 6107 of these had POP surgery subsequent to the hysterectomy. The cumulative incidence of POP surgery was significantly lower for radical hysterectomy than for abdominal hysterectomy-3.4 % and 9.5 %, respectively, at the end of the study period, yielding a crude HR of 0.36 and an adjusted HR of 0.40 in favor of the radical hysterectomy. The distribution of POP operations in the defined compartments was the same for the two types of hysterectomy.

CONCLUSIONS: This study found a significantly lower incidence of subsequent POP operations among women who undergo radical hysterectomy than total abdominal hysterectomy.

OriginalsprogEngelsk
TidsskriftInternational Urogynecology Journal
Vol/bind28
Udgave nummer5
Sider (fra-til)745-749
ISSN0937-3462
DOI
StatusUdgivet - 2017

ID: 49857559