Reoperation 10 years after surgically managed pelvic organ prolapse and urinary incontinence

Mary Anna Denman, W. Thomas Gregory, Sarah H. Boyles, Virginia Smith, S. Renee Edwards, Amanda L. Clark

Research output: Contribution to journalArticlepeer-review

154 Scopus citations


Objective: This study measured the 10-year risk of reoperation for surgically treated pelvic organ prolapse and urinary incontinence (POPUI) in a community population. Study Design: We conducted a prospective cohort analysis of 374 women who were > 20 years old and who underwent surgery for POPUI in 1995. Results: The 10-year reoperation rate was 17% by Kaplan Meier analysis. Previous POPUI surgery at the time of index surgery conferred a hazard ratio of 1.9 (95% CI, 1.1-3.2; P = .018). The abdominal approach was protective against reoperation compared with the vaginal approach (hazard ratio, 0.37; 95% CI, 0.17-0.83; P = .02) With the use of Cox regression, no association was observed for age, vaginal parity, previous hysterectomy, body mass index, prolapse severity, ethnicity, chronic lung disease, smoking, estrogen status, surgical indication, or anatomic compartment. Conclusion: A reoperation rate of 17% is unacceptably high and likely represents an underestimate of the true rate. Most of the factors that influence reoperation have not yet been identified.

Original languageEnglish (US)
Pages (from-to)555.e1-555.e5
JournalAmerican journal of obstetrics and gynecology
Issue number5
StatePublished - May 2008


  • pelvic organ prolapse
  • surgery
  • urinary incontinence

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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