Surgical treatment for pelvic floor disorders in women 75 years or older: A single-center experience

Fabio Ghezzi, Stefano Uccella, Antonella Cromi, Giorgio Bogani, Ilario Candeloro, Maurizio Serati, Pierfrancesco Bolis

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)314-318
Number of pages5
JournalMenopause
Volume18
Issue number3
DOIs
Publication statusPublished - Mar 2011

Keywords

  • Gynecological surgical operation
  • Hysterectomy
  • Older population
  • Pelvic floor dysfunction
  • Pelvic organ prolapse
  • Vaginal surgical operation

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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