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Post-Hysterectomy Pelvic Floor Repair Risks Identified

Increased risk seen in women who had hysterectomies for prolapse

TUESDAY, Jan. 1 (HealthDay News) -- In women who undergo hysterectomy, the risk of subsequent pelvic floor repair is significantly higher in those who had a hysterectomy for prolapse, according to study findings published in the December issue of the American Journal of Obstetrics & Gynecology.

Roberta E. Blandon, M.D., of the Mayo Clinic College of Medicine in Rochester, Minn., and colleagues studied 8,220 Olmsted County, Minn., women who had a hysterectomy for benign indications between 1965 and 2002.

The researchers found a cumulative incidence of 5.1 percent for pelvic floor repair by 30 years. The investigators also found that the estimated cumulative incidence of a subsequent pelvic floor repair was highest in women who had prolapse, including those who underwent a hysterectomy alone, either vaginal (hazard ratio 4.3) or abdominal (HR, 3.9), or a hysterectomy and pelvic floor repair, either vaginal (HR, 1.9) or abdominal (HR, 2.9).

"Because the proportion of hysterectomies for prolapse declined between 1965-1974 and 1975-1984, and have remained stable thereafter, we anticipate that the need for pelvic floor repair procedures after hysterectomy will perhaps remain stable or decline and is unlikely to increase substantially in the near future," the authors conclude.

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