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

Published

Conference Paper

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.

Full Text

Duke Authors

Cited Authors

  • Collins, SA; Jelovsek, JE; Chen, CCG; Gustilo-Ashby, AM; Barber, MD

Published Date

  • July 2007

Published In

Volume / Issue

  • 197 / 1

Start / End Page

  • 84.e1 - 84.e3

PubMed ID

  • 17618769

Pubmed Central ID

  • 17618769

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2007.02.050

Conference Location

  • United States