Journal article
Intra-, peri- and postoperative complications in pelvic organ prolapse surgery in geriatric women.
- Körnig M Department of Urogynecology, Cantonal Hospital of Lucerne, Spitalstrasse, 6000 Lucerne, Switzerland; Department of Obstetrics and Gynecology, Cantonal Hospital of Baden, Im Ergel 1, 5404 Baden, Switzerland. Electronic address: marc.koernig@ksb.ch.
- Brühlmann E Department of Urogynecology, Cantonal Hospital of Lucerne, Spitalstrasse, 6000 Lucerne, Switzerland.
- Günthert A Department of Urogynecology, Cantonal Hospital of Lucerne, Spitalstrasse, 6000 Lucerne, Switzerland.
- Christmann C Department of Urogynecology, Cantonal Hospital of Lucerne, Spitalstrasse, 6000 Lucerne, Switzerland.
- 2018-04-02
Published in:
- European journal of obstetrics, gynecology, and reproductive biology. - 2018
Complication
Geriatric
Surgery
Urogynecology
Aged
Aged, 80 and over
Female
Gynecologic Surgical Procedures
Humans
Intraoperative Complications
Pelvic Organ Prolapse
Postoperative Complications
Retrospective Studies
Switzerland
Treatment Outcome
English
OBJECTIVE
Pelvic organ prolapse is a common problem among geriatric women. Advanced age is associated with a high prevalence of comorbidities that can lead to restrictive use of surgical treatment. With rising life expectancy it is predicted that surgical treatment in these women will be seen more frequently. Inconsistently there is a lack of clinical trials giving attention to elderly women suffering from pelvic organ prolapse. The aim of this study was to quantify the rate of complications in elderly women undergoing surgery for pelvic organ prolapse.
STUDY DESIGN
72 women aged ≥75 years who underwent surgical correction for pelvic organ prolapse were included in this study. Demographics, comorbidities, intra-, peri- and postoperative severe and non-severe complications were recorded. Additionally we compared the pre- and postoperative presence of symptoms linked to pelvic organ prolapse. Follow-up for the review of pelvic floor symptoms was six month.
RESULTS
The mean age was 81.4 years. Four (5.6%) of the patients had a severe intra-, peri- or postoperative complication (two bowel injuries, one bleeding requiring blood transfusion, one resuscitation). All women with severe complications showed no persistent problem at the time of discharge or during the follow-up period. There was a significant postoperative decrease in pelvic organ prolapse connected symptoms, such as stress urinary incontinence (p = .013), voiding dysfunction (p < .001), recurrent urinary tract infection (p = .001) and rectal outlet obstruction (p = .006).
CONCLUSION
Elderly women undergoing an operation for pelvic organ prolapse have a low risk of complication and benefit from surgery. Age alone should not be a contraindication to surgery.
Pelvic organ prolapse is a common problem among geriatric women. Advanced age is associated with a high prevalence of comorbidities that can lead to restrictive use of surgical treatment. With rising life expectancy it is predicted that surgical treatment in these women will be seen more frequently. Inconsistently there is a lack of clinical trials giving attention to elderly women suffering from pelvic organ prolapse. The aim of this study was to quantify the rate of complications in elderly women undergoing surgery for pelvic organ prolapse.
STUDY DESIGN
72 women aged ≥75 years who underwent surgical correction for pelvic organ prolapse were included in this study. Demographics, comorbidities, intra-, peri- and postoperative severe and non-severe complications were recorded. Additionally we compared the pre- and postoperative presence of symptoms linked to pelvic organ prolapse. Follow-up for the review of pelvic floor symptoms was six month.
RESULTS
The mean age was 81.4 years. Four (5.6%) of the patients had a severe intra-, peri- or postoperative complication (two bowel injuries, one bleeding requiring blood transfusion, one resuscitation). All women with severe complications showed no persistent problem at the time of discharge or during the follow-up period. There was a significant postoperative decrease in pelvic organ prolapse connected symptoms, such as stress urinary incontinence (p = .013), voiding dysfunction (p < .001), recurrent urinary tract infection (p = .001) and rectal outlet obstruction (p = .006).
CONCLUSION
Elderly women undergoing an operation for pelvic organ prolapse have a low risk of complication and benefit from surgery. Age alone should not be a contraindication to surgery.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.ejogrb.2018.03.040
- PMID 29605709
- Persistent URL
- https://sonar.ch/global/documents/97231
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