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Am J Obstet Gynecol. 2002 Apr;186(4):712-6.

Pelvic organ prolapse surgery in the United States, 1997.

Author information

1
Department of Obstetrics and Gynecology, and Reproductive Sciences, UCSF/Mount Zion Women's Health, University of California, San Francisco, 94143-1688, USA. Brownj@obgyn.UCSF.edu

Abstract

OBJECTIVE:

Our purpose was to describe the prevalence, regional rates and demographic characteristics, morbidity, and mortality of pelvic organ prolapse surgeries in the United States.

STUDY DESIGN:

We used data from the 1997 National Hospital Discharge Survey and the 1997 National Census to calculate rates of pelvic organ prolapse surgeries by age, race, and regional trends.

RESULTS:

In 1997, 225,964 women underwent surgery for prolapse (22.7 per 10,000 women). The mean age of these women was 54.6 years (+/-15.2). The South had the highest rate of surgery (29.3 per 10,000) and the Northeast had the lowest (16.1 per 10,000). The surgery rate for whites (19.6 per 10,000) was 3 times greater than that for African Americans (6.4 per 10,000). Although 16% of surgeries had complications, mortality was rare (0.03%).

CONCLUSION:

Pelvic organ prolapse surgery is common. Regional and racial differences in rates of surgery may reflect physician practice, patient preferences, and gynecologic care utilization.

PMID:
11967496
[Indexed for MEDLINE]
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