{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:41:06Z","timestamp":1768005666133,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To assess the contemporary trends in the types and incidence of pelvic organ prolapse (POP) surgery in Australia after the removal of transvaginal mesh from the Australian market.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective Australian cohort study utilizing three large Governmental databases covering all private and public POP procedures in Australia. All females \u226525\u2009years old undergoing POP procedures between 2005 and 2021 were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2005\u20132006 to 2020\u20132021 there have been a total of 408\u2009881 POP procedures in Australia. The total number of procedures peaked in 2005\u20132006 at 537.8 procedures per 100\u2009000 age\u2010standardized female population, decreasing by an average of 3.5% per year to 329.0 procedures per 100\u2009000 in 2018\u20132019, an overall 38.8% decrease (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). A sudden growth in private operative procedures was noted between 2019\u20132020 and 2020\u20132021, from 218.2 to 268.6 procedures per 100\u2009000 population, a 23.1% increase (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001). Laparoscopic and abdominal POP repair has seen a 115.8% increase from 13.7 procedures to 29.6 per 100\u2009000 between 2005\u20132006 and 2020\u20132021. Over the last 15\u2009years, the most common age group to undergo a procedure has changed from the 55 to 64\u2009years demographic to a later decade of 65 to 74\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Over the last 15\u2009years, the total number of POP procedures performed has significantly decreased. There has however been a recent rise in interventions seen in the private sector and the utilization of laparoscopic or abdominal POP repair has increased, which has implications for procedural credentialing to ensure patient safety.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18268","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T11:49:59Z","timestamp":1673437799000},"page":"469-475","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Australian trends in the treatment of pelvic organ prolapse in the non\u2010mesh era"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3338-9633","authenticated-orcid":false,"given":"Taha","family":"Mollah","sequence":"first","affiliation":[{"name":"Department of Surgery St. Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery Swan Hill Hospital  Swan Hill Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janelle","family":"Brennan","sequence":"additional","affiliation":[{"name":"Department of Urology Bendigo Health  Bendigo Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"The Royal Australian College of General Practitioners.RACGP\u2014Pelvic organ prolapse\u2014a review. 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