The prevalence and factors associated with previous surgery for pelvic organ prolapse and/or urinary incontinence in a cross-sectional study in The Netherlands

Boer, T.A. de; Hove, Marijke C. Ph. Slieker‐ten; Burger, Curt W.; Kluivers, Kirsten B.; Vierhout, Mark E.

doi:10.1016/j.ejogrb.2011.04.029

Cited by 57 publications

(40 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the Netherlands, de Boer et al(25) reported a 20.3% risk of prior surgery in women aged 76–85 years. Among parous women in United Kingdom, Abdel-Fattah et al found a 12.2% lifetime risk of incontinence and pelvic organ prolapse surgery.…”

Section: Discussionmentioning

confidence: 99%

Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery

Matthews²,

Conover³

et al. 2014

Obstetrics &Amp; Gynecology

883

405

View full text Add to dashboard Cite

Objective To estimate the lifetime risk of stress incontinence, pelvic organ prolapse surgery, or both using current, population-based surgical rates from 2007–2011. Methods We used a 2007–2011 a U.S. claims and encounters database. We included women aged 18–89 years and estimated age-specific incidence rates and cumulative incidence (lifetime risk) of stress incontinence surgery, pelvic organ prolapse surgery, and either incontinence or prolapse surgery, with 95% confidence intervals. We estimated lifetime risk until the age of 80 to be consistent with prior studies. Results From 2007–2011, we evaluated 10,177,480 adult women who were followed for 24,979,447 person-years. Among these women, we identified 65,397 incident, or first, stress incontinence, and 57,755 incident prolapse surgeries. Overall, we found that the lifetime risk of any primary surgery for stress incontinence or pelvic organ prolapse was 20.0% (95%CI 19.9, 20.2) by the age of 80 years. Separately, the cumulative risk for stress incontinence surgery was 13.6% (95%CI 13.5, 13.7) and that for pelvic organ prolapse surgery was 12.6% (95%CI 12.4, 12.7). For age-specific annual risk, stress incontinence demonstrated a bimodal peak at age 46 and then again at age 70–71 with annual risks of 3.8 and 3.9 per 1,000 women, respectively. For pelvic organ prolapse, the risk increased progressively until ages 71 and 73 when the annual risk was 4.3 per 1,000 women. Conclusion Based on a U.S. claims and encounters database, the estimated lifetime risk of surgery for either stress incontinence or pelvic organ prolapse in women is 20.0% by the age of 80.

show abstract

Section: Discussionmentioning

confidence: 99%

Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery

Matthews²,

Conover³

et al. 2014

Obstetrics &Amp; Gynecology

883

405

View full text Add to dashboard Cite

show abstract

“…ROC analysis suggested that LAD scores alone explain prolapse in only 70 % of women. This emphasizes the importance of other factors, such as tissue strength and composition, genetics, non-levator-related changes after giving birth, and medical comorbidities [14, 15]. …”

Section: Discussionmentioning

confidence: 99%

Levator ani defect scores and pelvic organ prolapse: is there a threshold effect?

2014

View full text Add to dashboard Cite

Introduction and hypothesis The goal of this study was to use a well-described system of quantifying levator ani defect (LAD) severity using magnetic resonance imaging (MRI) to examine the relationship between defect severity and the presence or absence of prolapse. Methods This is a secondary analysis of two case–control studies comparing 284 cases (with prolapse) to 219 controls (normal support) defined by using Pelvic Organ Prolapse Quantification (POP-Q) exams. LAD were assessed on MRI, with scores from 0 (no defects) to 6 (complete, bilateral defects). The number of cases and controls at each score were compared. Logistic regression and receiver operating characteristic (ROC) analyses were used to quantify relationships between LAD and prolapse. Results The proportion of cases exceeds the overall prolapse rate in this study at LAD scores ≥3, with higher rates of prolapse at higher LAD scores (p<0.0000001). Prolapse risk stratifies into low risk at LAD scores 0–2, moderate at 3–5, and high at 6. ROC analysis for classification of prolapse based on LAD scores has an area under the curve of 69.9 % (p<0.001), suggesting LAD alone can discriminate between normal support and prolapse for nearly 70 % of patients. Logistic regression identified higher parity and higher LAD scores as independent predictors of prolapse. Conclusions There are three clusters of prolapse risk: low (0–2), moderate (3–5), and high (6). Although LAD have a dose-response-like effect for prolapse, other factors are clearly involved.

show abstract

“…During their life-time, 11 % to 20 % of women will undergo surgery for prolapse [1,2]. Cystocele, whether isolated or associated with apical and/ or posterior prolapse, is found in 80 % of patients with genital prolapse [1].…”

Section: Introductionmentioning

confidence: 99%

A retrospective comparison of two vaginal mesh kits in the management of anterior and apical vaginal prolapse: long-term results for apical fixation and quality of life

et al. 2016

View full text Add to dashboard Cite

The use of the Elevate Ant mesh was associated with significantly better apical correction at 2 years. Function improved in both groups, but with a significantly better PFDI-20 score in the Elevate Ant group at 1 and 2 years. The postoperative stress urinary incontinence rate, however, tended to be greater in the Elevate Ant group. The results need confirming with longer follow-up of these cohorts and in randomized studies.

show abstract

The prevalence and factors associated with previous surgery for pelvic organ prolapse and/or urinary incontinence in a cross-sectional study in The Netherlands

Cited by 57 publications

References 18 publications

Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery

Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery

Levator ani defect scores and pelvic organ prolapse: is there a threshold effect?

A retrospective comparison of two vaginal mesh kits in the management of anterior and apical vaginal prolapse: long-term results for apical fixation and quality of life

Contact Info

Product

Resources

About