Clinical risk factors for recurrence of pelvic organ prolapse after primary native tissue prolapse repair

Wien Klin Wochenschr. 2022 Jan;134(1-2):73-75. doi: 10.1007/s00508-021-01861-8. Epub 2021 Apr 30.

Abstract

Objective: To define potential risk factors for recurrence of prolapse.

Methods: This short report included all women who presented with recurrence of prolapse as well as without any recurrence signs after a vaginal approach of native tissue prolapse repair at an urogynecological center in Austria.

Results: A total of 124 recurrence cases and 64 women with no signs of recurrence after their index prolapse surgery were included. Multivariate analysis identified advanced preoperative POP‑Q stage (pelvic organ prolapse-quantification) as an independent risk factor for postoperative recurrence of prolapse (p = 0.045).

Conclusion: Initial proper preoperative counseling is of particular importance to modulate patients' expectations after prolapse surgery.

Keywords: Native tissue repair; Pelvic organ prolapse; Recurrence; Risk factors; Surgical outcome.

MeSH terms

  • Austria
  • Female
  • Humans
  • Pelvic Organ Prolapse* / epidemiology
  • Pelvic Organ Prolapse* / surgery
  • Postoperative Period
  • Recurrence
  • Risk Factors
  • Surgical Mesh
  • Treatment Outcome