Risk factors for prolapse recurrence after vaginal repair

Abstract

Objective: The purpose of this study was to determine factors that are associated with recurrent prolapse.

Study design: Of 389 women who underwent vaginal prolapse and incontinence between June 1996 and May 1999, 176 women had 1-year follow-up evaluations. Recurrent prolapse was analyzed by both pelvic organ prolapse quantification stage and centimeter measurements that were relative to the hymen. Logistic regression was used to determine odds ratios and 95% CI for factors that were associated with recurrent prolapse.

Results: One year after surgery, 102 women (58%) had recurrent prolapse (>/=stage II). Seventeen women (10%) had prolapse >/=1 cm beyond the hymen. Age <60 years (odds ratio, 3.2; 95% CI, 1.6-6.4; P = .001) and preoperative pelvic organ prolapse quantification stage III or IV (odds ratio, 2.7; 95% CI, 1.3-5.3; P = .005) were associated with a greater likelihood of recurrent prolapse (>/=stage II) at 1 year.

Conclusion: Younger women and women with more advanced prolapse are more likely to experience recurrent prolapse after vaginal repair.