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De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse.

Publication ,  Conference
Collins, SA; Jelovsek, JE; Chen, CCG; Gustilo-Ashby, AM; Barber, MD
Published in: Am J Obstet Gynecol
July 2007

OBJECTIVE: The purpose of this study was to compare the incidence of de novo rectal prolapse after obliterative vaginal surgery with the incidence that was seen after reconstructive vaginal surgery for urogenital prolapse. STUDY DESIGN: A chart review was performed on subjects who underwent vaginal surgery for urogenital prolapse from Jan. 1, 2001, through Dec. 31, 2004, at the Cleveland Clinic. Diagnosis of postoperative rectal prolapse was identified with ICD-9 code 569.1. RESULTS: Nine hundred sixteen women underwent vaginal surgery for urogenital prolapse. Ninety-two percent of the women (n = 840) underwent reconstructive surgery, and 8% of the women (n = 76) underwent obliterative surgery. The incidence of postoperative full-thickness rectal prolapse in women who were > or = 65 years old who underwent obliterative surgery was 3 of 74 (4.1%; 95% CI, 1.4-11), with an estimated odds ratio of 22 (95% CI, 2.3-196; P < .002) compared with women who were > or = 65 years old who underwent reconstructive surgery. CONCLUSION: Obliterative surgery is associated with a substantially greater risk of de novo rectal prolapse than reconstructive vaginal surgery for urogenital prolapse.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

July 2007

Volume

197

Issue

1

Start / End Page

84.e1 / 84.e3

Location

United States

Related Subject Headings

  • Vagina
  • Uterine Prolapse
  • Treatment Outcome
  • Rectal Prolapse
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Incidence
  • Humans
  • Gynecologic Surgical Procedures
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Collins, S. A., Jelovsek, J. E., Chen, C. C. G., Gustilo-Ashby, A. M., & Barber, M. D. (2007). De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse. In Am J Obstet Gynecol (Vol. 197, pp. 84.e1-84.e3). United States. https://doi.org/10.1016/j.ajog.2007.02.050
Collins, Sarah A., J Eric Jelovsek, Chi Chiung Grace Chen, A Marcus Gustilo-Ashby, and Matthew D. Barber. “De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse.” In Am J Obstet Gynecol, 197:84.e1-84.e3, 2007. https://doi.org/10.1016/j.ajog.2007.02.050.
Collins SA, Jelovsek JE, Chen CCG, Gustilo-Ashby AM, Barber MD. De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse. In: Am J Obstet Gynecol. 2007. p. 84.e1-84.e3.
Collins, Sarah A., et al. “De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse.Am J Obstet Gynecol, vol. 197, no. 1, 2007, pp. 84.e1-84.e3. Pubmed, doi:10.1016/j.ajog.2007.02.050.
Collins SA, Jelovsek JE, Chen CCG, Gustilo-Ashby AM, Barber MD. De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse. Am J Obstet Gynecol. 2007. p. 84.e1-84.e3.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

July 2007

Volume

197

Issue

1

Start / End Page

84.e1 / 84.e3

Location

United States

Related Subject Headings

  • Vagina
  • Uterine Prolapse
  • Treatment Outcome
  • Rectal Prolapse
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Incidence
  • Humans
  • Gynecologic Surgical Procedures
  • Female