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Introduction: Our objective was to describe surgical activity, hospital stay and morbidity after vaginal prolapse surgery in Denmark in 1999-2001. Materials and methods: We analyzed data from the Danish National Patient Registry (DNPR). Results: There were 10,555 vaginal prolapse procedures performed during the period. There was a 26% productivity increase and a slight centralization from 48 hospitals in 1999 to 42 in 2001. Productivity ranged from 3 to 328 cases in 2001. 96% of the cases were purely vaginal. The length of hospital stay decreased from a median of three to a median of two days, but local differences were substantial (i.e., the medians ranged from one to four days in 2001). The length of hospital stay increased significantly with increasing age and surgical complexity and decreased with increasing surgical activity. Four percent of the patients were reoperated due to complications. The percentage of reoperation was significantly lower after the Manchester procedure than after vaginal hysterectomy. 6% were re-hospitalized within 30 days, and the mortality rate was 0.8. Three percent had another prolapse procedure performed within the three-year observation period. Discussion: There is substantial variability in surgical activity, length of hospital stay and choice of surgical procedure for utero-vaginal prolapse. Minimum demands for surgical activity and optimized perioperative programs will most certainly result in higher quality with considerable socio-economic benefit. Evidence for the efficacy of the various procedures is lacking. The development of a consensus about coding and options for the coding of complexity and recurrent procedures is desirable. Longitudinal registration in the DNPR combined with a national urogynaecologic database is recommended for quality control related to functional outcome and recurrence rate.

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