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Complication Rates are Low for Women Aged 70 and Older Undergoing Sacrocolpopexy
Tien C Nguyen1, Halina Zyczynski2,3, Mary F Ackenbom2,3
1University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
International Urogynecology Journal
|September 8, 2025
Summary
Older women aged 70 and above undergoing minimally invasive sacrocolpopexy (MIS) face no increased risk of adverse events or surgical complications. This minimally invasive approach demonstrates a favorable safety profile in the aging female population.
Area of Science:
- Urogynecology
- Geriatric Surgery
- Minimally Invasive Surgery
Background:
- Aging populations may be at increased risk for adverse perioperative outcomes.
- Minimally invasive sacrocolpopexy (MIS) is a common surgical approach for pelvic organ prolapse.
Purpose of the Study:
- To investigate the hypothesis that women aged 70 years and older undergoing MIS sacrocolpopexy are more likely to experience adverse events (AE) within 8 weeks of surgery.
Main Methods:
- Secondary analysis of a retrospective study including women aged 61 and older undergoing prolapse surgery.
- Focus on women who underwent MIS sacrocolpopexy, comparing outcomes between those aged <70 and >=70 years.
- Multivariable logistic regression was used to control for confounding variables.
Main Results:
- Of 709 women, 29.9% were aged >=70 years.
- Age >=70 was not significantly associated with 8-week AEs, prolapse recurrence, or mesh complications.
- Women aged >=70 had lower adjusted odds of surgical site infections.
Conclusions:
- Age >=70 years is not associated with increased perioperative AEs, prolapse recurrence, or mesh complications after MIS sacrocolpopexy.
- MIS sacrocolpopexy is a safe surgical option for older women.
- Findings support the use of MIS sacrocolpopexy in the aging female population.
