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Objectives

To determine the risk factors associated with loss of functional independence after obliterative procedures for pelvic organ prolapse (POP).

Materials and Methods

The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database was used to collect data on women who underwent obliterative vaginal procedures from 2011-2016, based on the current procedural terminology (CPT) codes for LeFort Colpocleisis (57120) and vaginectomy (57110). Women who were not functionally independent prior to the procedure and those with unknown discharge destination were excluded from the analysis. Women undergoing a concomitant hysterectomy were identified using CPT codes 59260 to 59294. The criteria for loss of functional independence was a transition of a preoperative functional independent status to a dependent status (discharge to a post-care facility) or …