JOURNAL ARTICLE

Pelvic organ prolapse surgery in the United States, 1997

Jeanette S Brown, L Elaine Waetjen, Leslee L Subak, David H Thom, Stephen Van den Eeden, Eric Vittinghoff
American Journal of Obstetrics and Gynecology 2002, 186 (4): 712-6
11967496

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.

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