TY - JOUR
T1 - Surgical treatment for pelvic floor disorders in women 75 years or older
T2 - A single-center experience
AU - Ghezzi, Fabio
AU - Uccella, Stefano
AU - Cromi, Antonella
AU - Bogani, Giorgio
AU - Candeloro, Ilario
AU - Serati, Maurizio
AU - Bolis, Pierfrancesco
PY - 2011/3
Y1 - 2011/3
N2 - Objective: Older patients are usually regarded as suboptimal candidates for surgical operations, particularly in cases of reparative, non-life-saving procedures. The aim of this study was to analyze the feasibility and safety of surgical treatment for pelvic floor dysfunction in advanced-age women. Methods: A single-center descriptive study was performed through a retrospective medical records review. Women 75 years or older who underwent a surgical operation for urogynecological dysfunction (pelvic organ prolapse, urinary incontinence, or both) between January 2000 and December 2009 were considered. Results: Overall, 138 women were included. Median age was 77 years (range, 75-95 y). Women underwent different types of surgical correction. The following procedures (alone or in combination) were performed: 102 (73.9%) vaginal hysterectomies, 106 (76.8%) anterior repairs, 36 (26%) posterior repairs, 9 (6.5%) colpocleisis, 4 vaginal vault ileococcygeus suspensions (2.9%), and 22 (15.9%) tension-free vaginal tape procedures. One (0.7%) intraoperative and five (3.6%) postoperative complications occurred. Urinary retention rate after surgical operation was 5.8%. Only one (0.7%) woman was discharged with a Foley catheter because of voiding difficulty. Clinical follow-up showed 87.6% anatomical success in women with genital prolapse and a subjective success rate of 86.4% in women undergoing anti-incontinence procedures. Conclusions: Our study shows that reconstructive surgical operation is a viable treatment option for pelvic floor dysfunction in older patients.
AB - Objective: Older patients are usually regarded as suboptimal candidates for surgical operations, particularly in cases of reparative, non-life-saving procedures. The aim of this study was to analyze the feasibility and safety of surgical treatment for pelvic floor dysfunction in advanced-age women. Methods: A single-center descriptive study was performed through a retrospective medical records review. Women 75 years or older who underwent a surgical operation for urogynecological dysfunction (pelvic organ prolapse, urinary incontinence, or both) between January 2000 and December 2009 were considered. Results: Overall, 138 women were included. Median age was 77 years (range, 75-95 y). Women underwent different types of surgical correction. The following procedures (alone or in combination) were performed: 102 (73.9%) vaginal hysterectomies, 106 (76.8%) anterior repairs, 36 (26%) posterior repairs, 9 (6.5%) colpocleisis, 4 vaginal vault ileococcygeus suspensions (2.9%), and 22 (15.9%) tension-free vaginal tape procedures. One (0.7%) intraoperative and five (3.6%) postoperative complications occurred. Urinary retention rate after surgical operation was 5.8%. Only one (0.7%) woman was discharged with a Foley catheter because of voiding difficulty. Clinical follow-up showed 87.6% anatomical success in women with genital prolapse and a subjective success rate of 86.4% in women undergoing anti-incontinence procedures. Conclusions: Our study shows that reconstructive surgical operation is a viable treatment option for pelvic floor dysfunction in older patients.
KW - Gynecological surgical operation
KW - Hysterectomy
KW - Older population
KW - Pelvic floor dysfunction
KW - Pelvic organ prolapse
KW - Vaginal surgical operation
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U2 - 10.1097/gme.0b013e3181f2e629
DO - 10.1097/gme.0b013e3181f2e629
M3 - Article
C2 - 20861753
AN - SCOPUS:79952193307
VL - 18
SP - 314
EP - 318
JO - Menopause
JF - Menopause
SN - 1072-3714
IS - 3
ER -