TY - JOUR
T1 - Perioperative complications of surgery for genital prolapse
T2 - Does concomitant anti-incontinence surgery increase complications?
AU - Handa, Victoria L.
AU - Harvey, Lynn
AU - Cundiff, Geoffrey W.
AU - Kjerulff, Kristen H.
PY - 2005/3
Y1 - 2005/3
N2 - Objectives. To establish whether the short-term risks of prolapse surgery are increased by a concomitant anti-incontinence procedure. Methods. Using data from the past 4 years of the National Hospital Discharge Survey, we identified women admitted for surgery for pelvic organ prolapse (specifically, suspension of the vagina or obliteration of the cul-de-sac, with or without concomitant hysterectomy or vaginal repairs). We identified women diagnosed with complications (including infections, bleeding complications, surgical injuries, pulmonary complications, and cardiovascular complications). We used multiple logistic regression analysis to compare women with and without complications with respect to concurrent continence procedures, controlling for demographic characteristics, concurrent procedures, and medical comorbidity (using the Charlson index). Results. Of the 1931 women who underwent prolapse surgery, concomitant anti-incontinence procedures were performed in 514 (26.6%). Complications were reported in 288 patients (14.9%) and were associated with medical comorbidity (odds ratio 11.2) and concomitant hysterectomy (odds ratio 1.5). Concomitant surgery for incontinence was not associated with an increased risk of complications. Conclusions. These data suggest that medical comorbidity is strongly associated with complications after surgery for pelvic organ prolapse. A concomitant anti-incontinence procedure did not significantly increase the immediate morbidity of prolapse surgery.
AB - Objectives. To establish whether the short-term risks of prolapse surgery are increased by a concomitant anti-incontinence procedure. Methods. Using data from the past 4 years of the National Hospital Discharge Survey, we identified women admitted for surgery for pelvic organ prolapse (specifically, suspension of the vagina or obliteration of the cul-de-sac, with or without concomitant hysterectomy or vaginal repairs). We identified women diagnosed with complications (including infections, bleeding complications, surgical injuries, pulmonary complications, and cardiovascular complications). We used multiple logistic regression analysis to compare women with and without complications with respect to concurrent continence procedures, controlling for demographic characteristics, concurrent procedures, and medical comorbidity (using the Charlson index). Results. Of the 1931 women who underwent prolapse surgery, concomitant anti-incontinence procedures were performed in 514 (26.6%). Complications were reported in 288 patients (14.9%) and were associated with medical comorbidity (odds ratio 11.2) and concomitant hysterectomy (odds ratio 1.5). Concomitant surgery for incontinence was not associated with an increased risk of complications. Conclusions. These data suggest that medical comorbidity is strongly associated with complications after surgery for pelvic organ prolapse. A concomitant anti-incontinence procedure did not significantly increase the immediate morbidity of prolapse surgery.
UR - http://www.scopus.com/inward/record.url?scp=15244358529&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=15244358529&partnerID=8YFLogxK
U2 - 10.1016/j.urology.2004.10.022
DO - 10.1016/j.urology.2004.10.022
M3 - Article
C2 - 15780360
AN - SCOPUS:15244358529
SN - 0090-4295
VL - 65
SP - 483
EP - 487
JO - Urology
JF - Urology
IS - 3
ER -