Abstract
Purpose
Pelvic organ prolapse (POP) can cause incomplete bladder emptying or hydronephrosis and renal failure. These are serious conditions, especially in elderly women, requiring resolution of POP. Pessary use is an alternative, but there are specific problems or patients may not want it. We therefore conducted a retrospective study on surgical treatment of elderly women with respect to the type of surgery and intra- and postoperative complications.
Methods
From two urogynecologic centers, we reviewed treatment data between 2003 and 2013, including patients ≥80 years of age. From the hospital records, intra- and postoperative data were extracted.
Results
91 cases met the inclusion criteria. Mean age was 84.38 years (±3.05, max 92 years). Two patients (2.2%) were diagnosed with hydronephrosis and two with urosepsis/renal failure. The mean length of surgery was 81 min (±45 min, range 10–270), 94.5% of patients were under general anesthesia. Two bowel lesions occurred. The mean length of hospital stay was 8 days (range 1–22, n = 90). There were no perioperative mortalities. Six patients (6.6%) were admitted to intensive care unit.
Conclusions
In the future, we will be facing a growing number of elderly women seeking care for POP. In our retrospective analysis, we were able to show that POP surgery could be performed safely. We therefore consider surgical treatment as a valuable alternative if pessary use is not an option.
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Abbreviations
- POP:
-
Pelvic organ prolapse
- ASA:
-
American Society of Anesthesiologists
- UTI:
-
Urinary tract infection
- RVV:
-
Residual voiding volume
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Author contributions
The authors’ contributions were as follows: JF: Protocol/project development, Data collection or management, Data analysis, Manuscript writing/editing, other (performed surgeries). DW: Manuscript writing/editing, other (performed surgeries). HZ: Protocol/project development, Data collection or management, Data analysis, Manuscript writing/editing. CW: Manuscript writing/editing. TF: Manuscript writing/editing, other (performed surgeries). BG: Protocol/project development, Manuscript writing/editing, other (performed surgeries).
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The authors declare that they have no conflict of interest relevant for this study.
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This article does not contain any studies with human participants or animals performed by any of the authors.
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Farthmann, J., Watermann, D., Zamperoni, H. et al. Pelvic organ prolapse surgery in elderly patients. Arch Gynecol Obstet 295, 1421–1425 (2017). https://doi.org/10.1007/s00404-017-4367-z
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DOI: https://doi.org/10.1007/s00404-017-4367-z