{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:02:40Z","timestamp":1790859760574,"version":"4.1.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100001502","name":"Blue Cross Blue Shield of Michigan Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001502","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>Data on prolapse retreatment related to surgical approach and concurrent use of colporrhaphy or colpopexy at time of hysterectomy for prolapse repair are needed. This study sought to quantify prolapse retreatment as it relates to surgical approach for hysterectomy and use of concurrent procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of deidentified private payor insurance claims data for services for hysterectomies for prolapse from October 2015\u20132024. The primary outcome was prolapse retreatment defined as either a subsequent prolapse procedure or pessary fitting following the index hysterectomy. Data were analyzed using crude incidence rates as well as multivariable Cox proportional hazards models. The adjusted model included patient attributes\u2014e.g., age, comorbidities, concurrent gynecologic diagnoses\u2014 geographic factors, and concurrent prolapse procedure(s).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 7017 patients who underwent hysterectomy with a prolapse diagnosis with a mean age of 51.3. A concurrent prolapse procedure was performed in 82% of the hysterectomies. Within the study period, there were 24,129 person-years at risk and 399 patients (5.7%) were retreated. The overall incidence rate of retreatment was 16.5 per 1000 person-years (95% CI 14.9, 18.2). With adjustment for patient and surgical characteristics, including concurrent colporrhaphy and colpopexy, there was no difference in retreatment with a laparoscopic approach compared to vaginal (aHR 1.39, 95% CI 0.95, 2.04). With concurrent colpopexy and colporrhaphy, an abdominal approach was associated with increased retreatment compared to both laparoscopic (aHR 4.8, 95% CI 2.79, 8.25) and vaginal (aHR 6.7, 95% CI 3.8, 11.8) approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this cohort of commercially insured women undergoing hysterectomy with a prolapse diagnosis, there was no association between prolapse retreatment and a vaginal versus laparoscopic approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06906-y","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:48:52Z","timestamp":1790858932000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Risk of Prolapse Retreatment After Hysterectomy for Prolapse"],"prefix":"10.1007","author":[{"given":"Kyle Richard","family":"Latack","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen Palframan","family":"Hassett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Schweitzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Kamdar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel McBurney","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"issue":"11","key":"6906_CR1","doi-asserted-by":"publisher","first-page":"1311","DOI":"10.1001\/jama.300.11.1311","volume":"300","author":"I Nygaard","year":"2008","unstructured":"Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311\u20136. https:\/\/doi.org\/10.1001\/jama.300.11.1311","journal-title":"JAMA"},{"issue":"5","key":"6906_CR2","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1097\/AOG.0b013e3181f73729","volume":"116","author":"FJ Smith","year":"2010","unstructured":"Smith FJ, Holman CDJ, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010;116(5):1096. https:\/\/doi.org\/10.1097\/AOG.0b013e3181f73729","journal-title":"Obstet Gynecol"},{"issue":"2","key":"6906_CR3","doi-asserted-by":"publisher","first-page":"306.e1","DOI":"10.1016\/j.ajog.2022.05.046","volume":"227","author":"NM Shah","year":"2022","unstructured":"Shah NM, Berger AA, Zhuang Z, Tan-Kim J, Menefee SA. Long-term reoperation risk after apical prolapse repair in female pelvic reconstructive surgery. Am J Obstet Gynecol. 2022;227(2):306.e1-306.e16. https:\/\/doi.org\/10.1016\/j.ajog.2022.05.046","journal-title":"Am J Obstet Gynecol"},{"issue":"3","key":"6906_CR4","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1097\/AOG.0000000000005511","volume":"143","author":"AA Berger","year":"2024","unstructured":"Berger AA, Bretschneider CE, Gregory WT, Sung V. Longitudinal reoperation risk after apical prolapse procedures in women aged 65 years and older. Obstet Gynecol. 2024;143(3):411\u20138. https:\/\/doi.org\/10.1097\/AOG.0000000000005511","journal-title":"Obstet Gynecol"},{"issue":"3","key":"6906_CR5","doi-asserted-by":"publisher","first-page":"320.e1","DOI":"10.1016\/j.ajog.2023.05.025","volume":"229","author":"KR Latack","year":"2023","unstructured":"Latack KR, Moniz M, Hong CX, Schmidt P, Malone A, Kamdar N, et al. Statewide geographic variation in hysterectomy approach for pelvic organ prolapse: a county-level analysis. Am J Obstet Gynecol. 2023;229(3):320.e1\u2013320.e7. https:\/\/doi.org\/10.1016\/j.ajog.2023.05.025","journal-title":"Am J Obstet Gynecol"},{"key":"6906_CR6","unstructured":"Social Vulnerability Index | Place and Health - Geospatial Research, Analysis, and Services Program (GRASP) | ATSDR [Internet]. [cited 2025 Nov 24]. Available from: https:\/\/www.atsdr.cdc.gov\/place-health\/php\/svi\/index.html"},{"key":"6906_CR7","unstructured":"Ingram DD, Franco SJ. 2013 NCHS urban-rural classification scheme for counties. Vital Health Stat 2. 2014;(166):1\u201373."},{"issue":"1","key":"6906_CR8","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1097\/AOG.0000000000000570","volume":"125","author":"NY Siddiqui","year":"2015","unstructured":"Siddiqui NY, Grimes CL, Casiano ER, Abed HT, Jeppson PC, Olivera CK, et al. Mesh sacrocolpopexy compared with native tissue vaginal repair: a systematic review and meta-analysis. 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Am J Obstet Gynecol. 2016;214(2):262.e1\u2013262.e7. https:\/\/doi.org\/10.1016\/j.ajog.2015.08.053","journal-title":"Am J Obstet Gynecol"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06906-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-026-06906-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-026-06906-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:48:54Z","timestamp":1790858934000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-026-06906-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":10,"alternative-id":["6906"],"URL":"https:\/\/doi.org\/10.1007\/s00192-026-06906-y","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]},"assertion":[{"value":"13 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was deemed \u201cnot regulated\u201d by our institution\u2019s review board.","order":1,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","label":"Conflicts of Interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}