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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Pelvic organ prolapse surgery in elderly patients
Juliane Farthmann1, Dirk Watermann2, Haiko Zamperoni3
1Department of Obstetrics and Gynecology, University Medical Center, Hugstetterstr. 55, 79106, Freiburg, Germany. juliane.farthmann@uniklinik-freiburg.de.
Archives of Gynecology and Obstetrics
|April 10, 2017
Summary
Surgical treatment for pelvic organ prolapse (POP) in women aged 80 and older is a safe and viable option. This study found that POP surgery can be performed with low complication rates, offering an alternative when pessary use is not suitable.
Area of Science:
- Urogynecology
- Geriatric Surgery
- Pelvic Floor Disorders
Background:
- Pelvic organ prolapse (POP) poses significant health risks in elderly women, including incomplete bladder emptying, hydronephrosis, and renal failure.
- While pessary use is an alternative, it presents challenges and may not be suitable for all patients.
Purpose of the Study:
- To evaluate the safety and efficacy of surgical treatment for POP in women aged 80 years and older.
- To analyze intraoperative and postoperative complications associated with POP surgery in this demographic.
Main Methods:
- Retrospective study of treatment data from two urogynecologic centers (2003-2013).
- Inclusion criteria: patients aged 80 years and older undergoing POP surgery.
- Data extraction from hospital records, focusing on intra- and postoperative outcomes.
Main Results:
- 91 elderly women (mean age 84.38 years) were included.
- Low incidence of severe complications: 2.2% hydronephrosis, 2.2% urosepsis/renal failure.
- Surgical complications included two bowel lesions; no perioperative mortalities were reported. Mean hospital stay was 8 days.
Conclusions:
- Surgical intervention for POP in women aged 80+ can be performed safely.
- POP surgery is a valuable alternative for elderly patients when pessary use is not feasible.
- The growing elderly population necessitates safe and effective treatment options for POP.
