Table 3. Indications for hysterectomy among Olmsted County, Minnesota women who did (cases) or did not (controls) undergo subsequent pelvic floor repair.
| Diagnosis* | Cases (n=144) | Controls (n=144) | OR (95% CI) † |
|---|---|---|---|
| Prolapse (includes uterine prolapse, cystocele, rectocele) ‡ | 72 (50.0%) | 74 (51.4%) | 0.5 (0.1,2.2) |
| Uterine prolapse | 62 (43.1%) | 54 (37.5%) | 1.9 (0.8, 4.5) |
| Cystocele | 59 (41.0%) | 54 (37.5%) | 1.7 (0.7, 4.4) |
| Rectocele | 56 (38.9%) | 52 (36.1%) | 1.9 (0.6, 6.0) |
| Menstrual disorders | 45 (31.2%) | 57 (39.6%) | 0.7 (0.4,1.1) |
| Urinary incontinence | 38 (26.4%) | 36 (25.0%) | 1.2 (0.6,2.3) |
| Uterine fibroids | 29 (20.1%) | 36 (25.0%) | 0.7 (0.4,1.4) |
| Endometriosis or adenomyosis | 21 (14.6%) | 25 (17.4%) | 0.8 (0.4,1.5) |
| Pelvic pain | 19 (13.2%) | 12 (8.3%) | 1.9 (0.8,4.7) |
| Adnexal mass | 18 (12.5%) | 8 (5.6%) | 2.4 (1.0,5.8) |
| Premalignant conditions | 5 (3.5%) | 5 (3.5%) | 1.0 (0.3,3.5) |
| Menopausal disorders | 3 (2.1%) | 5 (3.5%) | 0.6 (0.2,2.7) |
| Inflammatory diseases | 3 (2.1%) | 1 (0.7%) | not estimable |
| Other§ | 12 (8.3%) | 15 (10.4%) | 0.7 (0.3,1.6) |
*
Based on the final post-operative diagnosis.
†
Odds ratio (OR) adjusted for age at time of hysterectomy and year of first registration.
‡
Cases and controls matched on this variable.
§
Other category includes congenital uterine anomaly, abdominal or inguinal hernia, multiparity desiring sterilization, chronic anemia, and anal incontinence.