Mathilde Hendriks1,2, Stéphanie Bartolo3,4, Géraldine Giraudet5, Michel Cosson5,6, Emmanuel Chazard4. 1. CHU Lille, Pôle Femme Mère Nouveau-né, Université de Lille, Avenue Eugène Avinée, 59000, Lille, France. mathilde.hendriks@wanadoo.fr. 2. Hôpital Jeanne de Flandre, Faculté de Médecine, Université de Lille France, 1 rue Eugène Avinée, 59045, Lille cedex, France. mathilde.hendriks@wanadoo.fr. 3. Douai Hospital, Gynecology-Obstetric Unit, route de Cambrai, BP10740, 59507, Douai cedex, France. 4. CHU Lille, ULR 2694-METRICS: Évaluation des technologies de santé et des pratiques médicales, Université de Lille, 59000, Lille, France. 5. CHU Lille, Pôle Femme Mère Nouveau-né, Université de Lille, Avenue Eugène Avinée, 59000, Lille, France. 6. Laboratoire de Mécanique de Lille - UMR CNRS 8107, 59000, Lille, France.
Abstract
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) is a common pathological condition that may require surgical management. Several surgical treatment options are possible, and practice varies from one center to another. The objective of the present study was to describe the surgical management and outcomes of POP in France from 2008 to 2014. METHODS: We performed a retrospective cohort study of all patients operated on for POP from 2008 to 2014, according to the French national hospital discharge summary database. Patient characteristics, surgical approaches, concomitant hysterectomy and/or incontinence surgery, the length of stay, the proportion of day-case operations, and patient outcomes were analyzed. RESULTS: We analyzed 310,938 hospital stays with POP surgery between 2008 and 2014; 130,908 (42%) of the operations took place in hospitals performing more than 100 prolapse surgical procedures per year. The proportion of day-case operations was low, but rose significantly from 1.2% to 4.6% during the study period. More than half of the operations featured a vaginal approach. The proportions of operations with concomitant hysterectomy or urinary incontinence surgery fell from 41.0% to 36.1% and from 33.0% to 25.8% respectively. The proportions of laparoscopic procedures increased. The mortality rate was stable (0.07% for all years). CONCLUSIONS: The number of patients undergoing POP surgery remained stable from 2008 to 2014. The proportion of laparoscopic procedures increased (in parallel with the rising proportion of day-case operations) and the proportion of procedures with concomitant hysterectomy or incontinence treatment decreased.
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) is a common pathological condition that may require surgical management. Several surgical treatment options are possible, and practice varies from one center to another. The objective of the present study was to describe the surgical management and outcomes of POP in France from 2008 to 2014. METHODS: We performed a retrospective cohort study of all patients operated on for POP from 2008 to 2014, according to the French national hospital discharge summary database. Patient characteristics, surgical approaches, concomitant hysterectomy and/or incontinence surgery, the length of stay, the proportion of day-case operations, and patient outcomes were analyzed. RESULTS: We analyzed 310,938 hospital stays with POP surgery between 2008 and 2014; 130,908 (42%) of the operations took place in hospitals performing more than 100 prolapse surgical procedures per year. The proportion of day-case operations was low, but rose significantly from 1.2% to 4.6% during the study period. More than half of the operations featured a vaginal approach. The proportions of operations with concomitant hysterectomy or urinary incontinence surgery fell from 41.0% to 36.1% and from 33.0% to 25.8% respectively. The proportions of laparoscopic procedures increased. The mortality rate was stable (0.07% for all years). CONCLUSIONS: The number of patients undergoing POP surgery remained stable from 2008 to 2014. The proportion of laparoscopic procedures increased (in parallel with the rising proportion of day-case operations) and the proportion of procedures with concomitant hysterectomy or incontinence treatment decreased.
Entities:
Keywords:
Hysterectomy; Pelvic organ prolapse; Urinary incontinence