Table 28:

Cost of Pelvic Organ Prolapse Surgical Interventions

Cost Variable	Mean Cost ($ CAD)	Standard Error	Costing Sourcea
Surgery—Pelvic Organ Prolapse
Pre-surgery consultation	214.10		SoB A935, A206
Surgeryb,c
Surgical	616.60	—	SoB S758
Assistant	168.56	—	SoB S758
Anesthesia	210.14	—	SoB S758
Hospitalization (inpatient)	6,245.00	56.22	OCCId
Post-surgery—surgeon consultation	47.45	—	SoB A203
Reoperationb,e
Surgical	453.70	—	SoB S812
Assistant	168.56	—	SoB S812
Anesthesia	225.15	—	SoB S812
Hospitalization (inpatient)	5,930.00	215.80	OCCI

Abbreviations: OCCI, Ontario case costing initiative; SoB, physician schedule of benefits.

^a

Using Canadian Classification of Intervention codes 1.RS.74.^^ (fixation, vagina):

SoB A935: special surgical consultation (obstetrics and gynaecology)

SoB A206: repeat consultation (obstetrics and gynaecology)

SoB S758: hysterectomy with anterior and posterior vaginal repair and including enterocoele and/or vault prolapse repair when rendered

SoB A203: specific assessment (obstetrics and gynecology)

SoB S812: post hysterectomy vault prolapse—repeat—repair by vaginal approach, may include enterocoele and/or anterior and posterior repair

^bBasic and time units were multiplied by either the anaesthesiologist unit fee ($15.01) or the assistant fee ($12.04) to calculate total cost.

^cThe procedure time was estimated at 1.5 hours. Both Assistant and Anesthesia costs were derived from six base units and eight time units.

^dUsing Canadian Classification of Intervention codes 1.RM.89.^^ (excision total, uterus and surrounding structures).

^eThe procedure time was estimated at 1.5 hours. Assistant costs were derived from six base units and eight time units.

Anesthesia costs were derived from seven base units and eight time units.