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Long-term outcome after routine surgery for pelvic organ prolapse : a national register-based cohort study
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- Nüssler, Emil (author)
- Umeå universitet,Obstetrik och gynekologi
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- Granåsen, Gabriel, 1980- (author)
- Umeå universitet,Obstetrik och gynekologi
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- Bixo, Marie (author)
- Umeå universitet,Obstetrik och gynekologi
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- (creator_code:org_t)
- 2022-03-21
- 2022
- English.
- In: International Urogynecology Journal. - : Springer. - 0937-3462 .- 1433-3023. ; 33:7, s. 1863-1873
- Journal article (peer-reviewed)
Abstract
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- Introduction and hypothesis: Pelvic organ prolapse (POP) is common, and women have an estimated 12–19% lifetime risk for needing POP surgery. Aims were to measure re-operation rates up to 10 years after POP surgery and patient-reported outcomes (PROMs) 5 years after a first-time operation for POP.Methods: This is a cohort study using the Swedish National Quality Register for Gynaecological Surgery (GynOp). We retrieved information from 32,086 POP-operated women up to 10 years later. After validation, a web-based PROM questionnaire was sent to 4380 women who 5 years previously had standard POP surgery. Main outcome measures were reoperations due to a relapse of prolapse and PROMs 5 years after the primary operation.Results: Among women operated for all types of POP, 11% had re-operations 5 years later and an additional 4% 10 years later, with similar frequencies for various compartments/types of surgery. PROMs yielded a 75% response rate after 5 years. Cure rate was 68% for anterior, 70% for posterior, and 74% for combined anterior-posterior native repairs. Patient satisfaction exceeded 70%, and symptom reduction was still significant after 5 years (p < 0.0001).Conclusions: Following primary prolapse surgery, re-operation rates are low, even after 10 years. A web-based survey for follow-up of PROMs after POP surgery is feasible and yields a high response rate after 5 years. The subjective cure rate after primary POP operations is high, with reduced symptoms and satisfied patients regardless of compartment. Standard prolapse surgery with native tissue repair produces satisfactory long-term results.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Follow-up studies
- Kaplan-Meier estimates
- Pelvic organ prolapse
- Population register
- Surveys and questionnaires
- obstetrik och gynekologi
- Obstetrics and Gynaecology
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- ref (subject category)
- art (subject category)
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