Lifetime risk of surgical management for pelvic organ prolapse or urinary incontinence

Monday, 10 December 2007 - Fialkow et al. (2007) estimated age-specific incidence and lifetime risk of surgically managed pelvic organ prolapse (POP) and urinary incontinence (UI).

Women aged 20 and older who underwent primary surgical management of POP or UI in 1993 were identified from the database of a health maintenance organization using ICD-9 codes (of International Statistical Classification of Diseases and Related Health Problems) and confirmed through chart abstraction. From a population of 147,719 women, 135 were identified who underwent prolapse surgery only, 82 incontinence only, and 34 surgery for both conditions. From the age-specific incidence, the authors estimated the lifetime risk of undergoing an operation by age 80 to be 11.8%. The authors’ findings agree with a previous estimate that approximately 11% of women will undergo surgery for POP or UI by age 80.
 
In conclusion, POP and UI appear to be common problems, undoubtedly affecting an even larger proportion of the women than suggested by this high cumulative incidence of surgery.

Fialkow, M. F., Newton, K. M., Lentz, G. M., & Weiss, N. S. (2007). Lifetime risk of surgical management for pelvic organ prolapse or urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct, 10.1007/s00192-007-0459-9.

Authors: Fialkow et al.


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