Gynaecology • Gynécologie| Volume 42, ISSUE 7, P846-852.e5, July 2020

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Regional Variation and Temporal Trends in Surgery for Pelvic Organ Prolapse in Canada, 2004-2014

Published:March 12, 2020DOI:



      We sought to examine temporal trends in pelvic organ prolapse (POP) surgery in Canada.


      In this observational cross-sectional study, we used diagnostic and procedure codes from all hospitalizations and outpatient clinic visits in Canada (excluding Québec) from 2004 to 2014 to identify and analyze data on POP surgery.


      There were 204 301 POP surgery visits from 2004 to 2014, and the rate of POP surgery declined from 19.3 to 16.0 per 10 000 women during this period. The rates of “native tissue reconstructive repair” and “hysterectomy without other procedure” declined from 15.0 to 12.8 per 10 000 women and 2.6 to 1.6 per 10 000 women, respectively. The rate of obliteration increased from 0.1 to 0.3 per 10 000 women (all P values for trend <0.01). Mesh procedures increased from 1.6 per 10 000 women in 2004 to 2.4 per 10 000 women in 2007 and 2008, and then declined to 1.3 per 10 000 women in 2014. Reconstructive mesh surgery using an abdominal open approach declined, while laparoscopic procedures increased over the period examined.


      The rates of POP surgery declined in Canada between 2004 and 2014. An increase was observed in obliteration procedures and in laparoscopic vaginal suspension and fixation with mesh.



      Nous avons cherché à analyser les tendances temporelles en matière de traitement chirurgical du prolapsus des organes pelviens (POP) au Canada.


      Dans le cadre de cette étude transversale observationnelle, nous avons utilisé des codes diagnostiques et d'intervention de toutes les hospitalisations et visites en clinique externe au Canada (à l'exception du Québec) de 2004 à 2014 afin de recenser et d'analyser les données sur le traitement chirurgical du POP.


      On a dénombré 204 301 visites de traitement chirurgical du POP de 2004 à 2014, et le taux d'intervention pour cette affection est passé de 19,3 à 16,0 par 10 000 femmes au cours de cette période. Les taux de « réparation avec les tissus natifs » et d’ « hystérectomie sans autre intervention » sont passés de 15,0 à 12,8 par 10 000 femmes et de 2,6 à 1,6 par 10 000 femmes, respectivement. Le taux d'oblitération a augmenté, passant de 0,1 à 0,3 par 10 000 femmes (toutes les valeurs P relatives à cette tendance sont inférieures à 0,01). Le taux d'interventions de treillis a augmenté pour passer de 1,6 par 10 000 femmes en 2004 à 2,4 par 10 000 femmes en 2007 et 2008, pour diminuer à 1,3 par 10 000 femmes en 2014. Le taux d'interventions reconstructives de treillis par voie d'abord ouverte abdominale a diminué, tandis que le taux d'interventions laparoscopiques a augmenté au cours de la période examinée.


      Le taux de traitement chirurgical du POP a diminué au Canada entre 2004 et 2014. On a constaté une augmentation du nombre d'interventions d'oblitération et de suspension et fixation vaginales laparoscopiques avec treillis.


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