Abstract
OBJECTIVES: To estimate the reoperation rate for prolapse within 10 years of primary surgery for pelvic organ prolapse. MATERIALS AND METHODS: We identified all patients who underwent primary surgery for prolapse at 3 large regional centers in 1997 and 1978. Hospital databases were searched to determine whether patients had been reoperated for prolapse through 2008. RESULTS: A total of 456 patients (mean age, 62 years; range, 31–93) underwent a primary operation for prolapse in 1997 and 1998. The most common primary operation was vaginal hysterectomy with colporrhaphy (89% of primary procedures). We identified 13 reoperations for prolapse, for a reoperation rate of (at least) 2.9%. The median interval between primary and secondary surgery was 5.5 years (1.5–10) years. Reoperations comprised vaginal sacrospinous fixation (6), anterior + posterior colporrhaphy (3), anterior colporrhaphy only (3), and posterior mesh (1). Seven of the 13 patients reoperated for prolapse were ≤50 years old at the time of primary surgery. CONCLUSION: The 10-year reoperation rate for prolapse after primary vaginal hysterectomy and colporrhaphy appears to be modest.
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