Case Number 6450
Request Date 07/01/2019
Completion Date 31/01/2019

 

Details of the Request

In terms of pelvic organs, I refer to the pelvic organs such as the bladder, uterus, vagina, bowel, and rectum.

I would like you to provide me with the following information:

  • The total figure for Ashford and St. Peter's Hospitals NHS Foundation Trust spending on treatment for pelvic organ prolapse for the last available fiscal year.
  • The number of males and females that were admitted to hospitals under Ashford and St. Peter's Hospitals NHS Foundation Trust as a result of pelvic organ prolapse between 01 April 2017 and 01 April 2018.
  • The total number of pelvic organ prolapse surgeries that were performed between 01 April 2017 and 01 April 2018.
  • The total number of patients who were recommended pelvic floor muscle training as treatment for their pelvic organ prolapse between 01 April 2017 and 01 April 2018.
  • How many hysterectomies were performed under the Ashford and St. Peter's Hospitals NHS Foundation Trust between 01 April 2017 and 01 April 2018? Please could you also provide the top 5 causes of these hysterectomies and their contributing percentage to the total figure.

Please provide the information for male and female statistics separately.

If the data is not available between 2017-2018, please provide data for the next available year.

 

Details of the Response

1. The total figure for Ashford and St. Peter's Hospitals NHS Foundation Trust spending on treatment for pelvic organ prolapse for the last available fiscal year.

A spell may contain a number of different episodes and it is the episode code that has been used to identify the patient. As a result a patient could either (i) come in for just a spell involving the pelvic organ prolapse or (ii) be admitted for a spell part of which related to a pelvic organ prolapse.

The total cost for the spells in the 2017/18 year for those patients whose spell included a pelvic organ prolapse was £961,211, not all of which will relate specifically to the pelvic organ prolapse itself for the stated reasons.

 

2. The number of males and females that were admitted to hospitals under Ashford and St. Peter's Hospitals NHS Foundation Trust as a result of pelvic organ prolapse between 01 April 2017 and 01 April 2018.

111 Males and 230 Females

 

3. The total number of pelvic organ prolapse surgeries that were performed between 01 April 2017 and 01 April 2018.

368 procedures

 

4. The total number of patients who were recommended pelvic floor muscle training as treatment for their pelvic organ prolapse between 01 April 2017 and 01 April 2018

The Trust does not hold this data.

We recommend Pelvic Floor Muscle Training for women who have vaginal or uterine prolapse of less than stage 2. Some decline, some agree.

We also recommend the use of vaginal estrogens in this situation.

This is in line with national guidance that does not recommend surgery on mild or asymptomatic prolapse.

 

5. How many hysterectomies were performed under the Ashford and St. Peter's Hospitals NHS Foundation Trust between 01 April 2017 and 01 April 2018? Please could you also provide the top 5 causes of these hysterectomies and their contributing percentage to the total figure.

Number of hysterectomies performed: 160

 

Cause / Diagnosis Description Total %
Leiomyoma of uterus, unspecified 27
Complete uterovaginal prolapse 25
Excessive and frequent menstruation with regular cycle 22
Incomplete uterovaginal prolapse 20
Intramural leiomyoma of uterus 12