Analysis of risk factors for pelvic organ prolapse in females after hysterectomy
Aim. To identify risk factors for pelvic organ prolapse in females after hysterectomy. Materials and methods. A cross-sectional study from August 2019 to October 2021 in women after hysterectomy for benign neoplasms (n=91) analyzed history, outpatient medical record data, and clinical examination...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
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IP Berlin A.V.
2022-09-01
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| Series: | Гинекология |
| Subjects: | |
| Online Access: | https://gynecology.orscience.ru/2079-5831/article/viewFile/96505/pdf |
| _version_ | 1817980432225927168 |
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| author | Olga V. Soloveva Valerii G. Volkov |
| author_facet | Olga V. Soloveva Valerii G. Volkov |
| author_sort | Olga V. Soloveva |
| collection | DOAJ |
| description | Aim. To identify risk factors for pelvic organ prolapse in females after hysterectomy.
Materials and methods. A cross-sectional study from August 2019 to October 2021 in women after hysterectomy for benign neoplasms (n=91) analyzed history, outpatient medical record data, and clinical examination findings. Pelvic organ prolapse was assessed using the POP-Q (Pelvic Organ Prolapse Quantification) international classification. All patients were divided into two groups: Group 1 (n=61) included patients with the pelvic organ prolapse; Group 2 (n=30) included patients without the pelvic organ prolapse.
Results. Post-hysterectomy pelvic organ prolapse was observed in 67% (61/91) patients, including grade 1 in 49.2% (30/61), grade 2 in 36.0% (22/61), and grade 3 in 14.8% (9/61). The significant risk factors include obstetric trauma (41 83.7%; odds ratio OR 5.6, 95% confidence interval CI 2.114.8; p=0.00034), age (49 84.5%; OR 19.7, 95% CI 0.5990.831; p=0.00001) and lifestyle associated with weight lifting (32 72.1%; OR 9.8, 95% CI 0.63.9; p=0,00267). No statistically significant differences were observed when comparing the prolapse rate with the presence of connective tissue dysplasia and somatic disorders. Analysis of cumulative risk factors showed significant differences; in Group 1, the mean number of risk factors was 4.61.6 (95% CI 3.26.1), and in Group 2, 2.71.8 (95% CI 2.53.8), t-test value was 6.76, p0.001.
Conclusion. Genital prolapse occurs in more than 1/2 of females after hysterectomy. The most significant risk factors are obstetric trauma, age, and a lifestyle associated with weight lifting. The incidence of pelvic organ prolapse increases when several risk factors are combined. |
| first_indexed | 2024-04-13T22:53:50Z |
| format | Article |
| id | doaj.art-3663c2056e11445d92ac910e4272c615 |
| institution | Directory Open Access Journal |
| issn | 2079-5696 2079-5831 |
| language | Russian |
| last_indexed | 2024-04-13T22:53:50Z |
| publishDate | 2022-09-01 |
| publisher | IP Berlin A.V. |
| record_format | Article |
| series | Гинекология |
| spelling | doaj.art-3663c2056e11445d92ac910e4272c6152022-12-22T02:26:06ZrusIP Berlin A.V.Гинекология2079-56962079-58312022-09-0124430230510.26442/20795696.2022.4.20172279434Analysis of risk factors for pelvic organ prolapse in females after hysterectomyOlga V. Soloveva0https://orcid.org/0000-0003-1671-5265Valerii G. Volkov1https://orcid.org/0000-0002-7274-3837Tula State UniversityTula State UniversityAim. To identify risk factors for pelvic organ prolapse in females after hysterectomy. Materials and methods. A cross-sectional study from August 2019 to October 2021 in women after hysterectomy for benign neoplasms (n=91) analyzed history, outpatient medical record data, and clinical examination findings. Pelvic organ prolapse was assessed using the POP-Q (Pelvic Organ Prolapse Quantification) international classification. All patients were divided into two groups: Group 1 (n=61) included patients with the pelvic organ prolapse; Group 2 (n=30) included patients without the pelvic organ prolapse. Results. Post-hysterectomy pelvic organ prolapse was observed in 67% (61/91) patients, including grade 1 in 49.2% (30/61), grade 2 in 36.0% (22/61), and grade 3 in 14.8% (9/61). The significant risk factors include obstetric trauma (41 83.7%; odds ratio OR 5.6, 95% confidence interval CI 2.114.8; p=0.00034), age (49 84.5%; OR 19.7, 95% CI 0.5990.831; p=0.00001) and lifestyle associated with weight lifting (32 72.1%; OR 9.8, 95% CI 0.63.9; p=0,00267). No statistically significant differences were observed when comparing the prolapse rate with the presence of connective tissue dysplasia and somatic disorders. Analysis of cumulative risk factors showed significant differences; in Group 1, the mean number of risk factors was 4.61.6 (95% CI 3.26.1), and in Group 2, 2.71.8 (95% CI 2.53.8), t-test value was 6.76, p0.001. Conclusion. Genital prolapse occurs in more than 1/2 of females after hysterectomy. The most significant risk factors are obstetric trauma, age, and a lifestyle associated with weight lifting. The incidence of pelvic organ prolapse increases when several risk factors are combined.https://gynecology.orscience.ru/2079-5831/article/viewFile/96505/pdfpost-hysterectomy prolapserisk factorshysterectomyobstetric trauma |
| spellingShingle | Olga V. Soloveva Valerii G. Volkov Analysis of risk factors for pelvic organ prolapse in females after hysterectomy Гинекология post-hysterectomy prolapse risk factors hysterectomy obstetric trauma |
| title | Analysis of risk factors for pelvic organ prolapse in females after hysterectomy |
| title_full | Analysis of risk factors for pelvic organ prolapse in females after hysterectomy |
| title_fullStr | Analysis of risk factors for pelvic organ prolapse in females after hysterectomy |
| title_full_unstemmed | Analysis of risk factors for pelvic organ prolapse in females after hysterectomy |
| title_short | Analysis of risk factors for pelvic organ prolapse in females after hysterectomy |
| title_sort | analysis of risk factors for pelvic organ prolapse in females after hysterectomy |
| topic | post-hysterectomy prolapse risk factors hysterectomy obstetric trauma |
| url | https://gynecology.orscience.ru/2079-5831/article/viewFile/96505/pdf |
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