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Occult Uterine Pathology & Hysterectomy with POP Repair

Female Pelvic Med Reconstr Surg; ePub 2016 May 11; Ackenbom, et al

In women undergoing hysterectomy with pelvic organ prolapse (POP) repair, the incidence of uterine hyperplasia/malignancy and sarcoma were both significantly lower than previously published values in other populations. This according to a study of 1,196 cases (mean age 62.3 years, BMI 27.8, 95.5% white). Researchers found:

• Malignancy was present in 3 (0.3%) participants.

• 7 (0.6%) participants had endometrial hyperplasia.

• The overall abnormal pathology incidence of 0.8% is significantly lower than published rates of 2.6%.

• There were no participants with sarcoma.

• There were no associations between demographic or clinical variables with the presence of hyperplasia and/or malignancy.

Citation: Ackenbom MF, Giugale LE, Wang Y, Shepherd JP. Incidence of occult uterine pathology in women undergoing hysterectomy with pelvic organ prolapse repair. [Published online ahead of print May 11, 2016]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000283.