Apical Support During Hysterectomy for Pelvic Organ Prolapse-NSQIP Analysis.

The prevalence of pelvic organ prolapse (POP) in the United States is estimated to be between
40-50% with an anticipated increase over the next several decades. Approximately 300,000
women undergo surgeries to repair POP in the United States every year. Following pelvic
reconstructive surgery, recurrence rates of symptomatic prolapse range between 6-30%.

Our understanding of pelvic anatomy and its support has been significantly improved over
recent decades, with many researchers reporting on details and mechanics previously not
understood.

In November 2017, the American College of Obstetricians and Gynecologists released a new
practice bulletin outlining the current standard of care for the treatment of women with
pelvic organ prolapse. In this bulletin, they state that a hysterectomy alone is not adequate
treatment for POP, and further that any woman having a hysterectomy for POP should undergo a
concurrent apical suspension procedure as a standard of care.

The purpose of this study is to determine the proportion of patients undergoing hysterectomy
for the indication of POP having concurrent apical suspension among the population whose
cases are reported within the NSQIP database, and who underwent hysterectomy between 2015 and
2017.

Inclusion Criteria:

- Underwent hysterectomy for pelvic organ prolapse, between 2015 and 2017

Exclusion Criteria:

- Age < 18 years old

- Pelvic Organ Prolapse was not recorded in their postoperative diagnoses