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Trends in Hysteropexy for Uterovaginal Prolapse

Female Pelvic Med Reconstr Surg; ePub 2017 Jul 19; Madsen, et al

Hysteropexy significantly increased in the US from 2002 to 2012, although the overall proportion remains low, according a recent study that examined trends in hysteropexy and apical support for uterovaginal prolapse (UVP). Women aged ≥18 years with UVP undergoing pelvic organ prolapse (POP) surgery from January 1, 2002, to December 31, 2012 were identified for the study. Procedures were categorized as: 1) hysteropexy, 2) obliterative with uterine preservation, 3) hysterectomy with apical support, 4) hysterectomy without apical support, and 5) other reconstruction without apical support. Researchers found:

  • An estimated 815,184 hospital discharges of POP procedures for UVP occurred from 2002 to 2012.
  • Hysteropexies increased from 1.81% to 5.0%.
  • Hysterectomies with apical support increased (10% to 32.5%), hysterectomy without apical support decreased (27% to 17%), and reconstruction without apical support decreased (59% to 40%).
  • ~60% of women with UVP underwent inpatient surgery without an apical procedure in 2011-2012.

Citation:

Madsen AM, Raker C, Sung VW. Trends in hysteropexy and apical support for uterovaginal prolapse in the United States from 2002 to 2012. [Published online ahead of print July 19, 2017]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000426.