Urogynecology

Urogynecology

Unless otherwise specified, outcomes reported here reflect care by gynecology staff practicing
in Cleveland Clinic facilities in northeast Ohio.

Surgical Case Approach

2015 − 2019

Hysterectomy Surgical Approach

2015 - 2019

Colpopexy Surgical Approach

2015 - 2019

Adverse Events Within 30 Days of Urogynecologic Surgery

2016 − 2019

ᵃTotal number of urogynecologic surgical procedures per year

Three-Year Prolapse Reoperation Percentage

2009 – 2017

Between 2009 and 2017, 2198 patients underwent prolapse surgery and had at least 1 year of follow-up. The figure illustrates the percentage of these patients who had a reoperation for prolapse relative to the time of their initial surgery. The number of patients at risk represents those patients with the indicated length of follow-up who did not have a prolapse reoperation. The 3-year prolapse reoperation rate for Cleveland Clinic urogynecologic surgeons is approximately 2.5%.

Five-Year Prolapse Reoperation Percentage

2009 - 2017

Between 2009 and 2017, 2198 patients underwent prolapse surgery and had at least 1 year of follow-up. The figure at left illustrates the percentage of these patients who had a reoperation for prolapse relative to the time of their initial surgery. The number of patients at risk represents those patients with the indicated length of follow-up who did not have a prolapse reoperation. The 5-year prolapse reoperation rate for Cleveland Clinic urogynecologic surgeons is approximately 3.0%.

Three-Year Sling Revision Rate

2009 – 2017

Between 2009 and 2017, 2357 patients received incontinence (sling) surgery and had at least 1 year of follow-up. The figure illustrates the percentage of these patients who had sling revision urethrolysis relative to the time passed after their initial surgery. The number of patients at risk represents those patients with the indicated length of follow-up who have not had sling revision. The 3-year sling revision rate for Cleveland Clinic urogynecologic surgeons is 2.5%.

Urinary Incontinence Procedures Following Sacrospinous Fixation, Uterosacral Suspension, and Minimally Invasive Sacrocolpopexy

2009 – 2018

  • A total of 269 patients underwent minimally invasive abdominal sacrocolpopexy. Using survival modeling, the cumulative incidence for transurethral bulking or midurethral sling placement (with adjustment for loss to follow-up) was 6.5% over 3 years.
  • A total of 424 patients underwent sacrospinous fixation. Using survival modeling, the cumulative incidence for transurethral bulking or midurethral sling placement (with adjustment for loss to follow-up) was 3.7% over 3 years.
  • A total of 781 patients underwent uterosacral ligament vaginal vault suspension. Using survival modeling, the cumulative incidence for transurethral bulking or midurethral sling placement (with adjustment for loss to follow-up) was 3.0% over 3 years.
Outpatient Surgery vs Inpatient Surgery vs Readmission

2015 - 2019

N is the total surgeries