Factors associated with recurrence in women undergoing surgery for pelvic floor dysfunctions
Keywords:
pelvic floor disorders; risk factors; recurrenceAbstract
Introduction: Pelvic floor dysfunction has a high incidence globally, and several risk factors are associated with the development of this condition and with recurrence after surgery.
Objective: To determine the factors associated with recurrence in women who have undergone surgery for pelvic floor dysfunction.
Methods: A prospective, analytical study was conducted in women who had undergone surgery for pelvic floor dysfunction. 231 patients were included, selected by simple random sampling. Binary logistic regression was performed using forward introduction and exponential B calculation to determine the factors associated with recurrence in relation to other variables. Statistical tests were performed with a 95% confidence level, and a p-value < 0.05 was considered statistically significant.
Results: The 45-55 age group had the highest risk of recurrence (Exp B = 11.4; 95% CI: 1.382-94.05). Previous interventions, multiparity, and constipation were significantly associated with the risk of recurrence. Rectocystocele with urinary incontinence was the type of dysfunction with the highest risk (Exp B= 18.0; 95% CI: 1.692-191.5), and anterior colporrhaphy (Exp B=4.098; 95% CI: 1.001-8.113) was the surgical technique with the highest recurrence rate.
Conclusions: Individualized perioperative management and appropriate selection of the surgical technique are crucial for reducing recurrence.
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