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OBJECTIVE:

To investigate the lifetime risk of first-time incident pelvic organ prolapse (POP) surgery with the intention of updating previous risk estimates that have been based on members of managed-care populations.

METHODS:

Age-specific incidence rates of first-time prolapse surgery between 1981 and 2005 were calculated based on 44,728-incident cases. We estimated the lifetime risk as the cumulative incidence to age 85 years based on a life-table method and using the most recent cross-sectional incidence rates for the period 2001–2005. Age-standardized rates by calendar year were also calculated to show the secular trend in prolapse surgery.

RESULTS:

The lifetime risk of surgery for POP in the general female population was 19% based on the most recent cross-sectional rates, a figure higher than the 11–12% reported from US managed-care populations.

CONCLUSION:

There is a relatively high …