Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Risk of Repeat SUI and POP Surgery
Obstet Gynecol; ePub 2017 May 5; Wu, Dieter, et al
The 5-year risk of undergoing repeat stress urinary incontinence (SUI) or pelvic organ prolapse (POP) surgery was less than 10%, a recent study found, with higher risks for women aged ≥65 years and for those who underwent an initial POP surgery. The retrospective cohort study included women aged 18 to 84 years from 2007 to 2014 and defined 3 groups based on the index procedure: 1) SUI surgery only; 2) POP surgery only; and 3) both SUI+POP surgery. The occurrence of a subsequent SUI or POP procedure over time was assessed for women aged <65 years and those aged ≥65 years with a median follow-up of 2 years. Researchers found:
- 138,003 index procedures were identified.
- Overall cumulative incidence of a subsequent SUI or POP surgery within 5 years after any index procedure was 7.8% for women aged <65 years and 9.9% for women aged ≥65 years.
- Cumulative incidence was lower if the initial surgery was SUI only and higher if an initial POP procedure was performed.
Wu JM, Dieter AA, Pate V, Jonsson Funk M. Cumulative incidence of a subsequent surgery after stress urinary incontinence and pelvic organ prolapse procedure. [Published online ahead of print May 5, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000002051.
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