Research Article
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Year 2022, Volume: 3 Issue: 1, 1 - 5, 15.01.2022

Abstract

References

  • 1. Fabio Ghezzi, Stefano Uccella, Antonella Cromi, et al. Surgical treatment for pelvic floor disorders in women 75 years or older: a single-center experience Menopause: The Journal of The North American Menopause Society Vol. 18, No. 3, pp. 314/318.
  • 2. Unger CA, Hickman LC, Mitchell-Handley B, et al. The Incidence of Perioperative Adverse Events in the Very Elderly Undergoing Urogynecologic Surgery. Female Pelvic Med Reconstr Surg. 2016 Nov/Dec;22(6):425-429.
  • 3. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008;300:1311-1316.
  • 4. Oh, Sumin, et al. "Perioperative and postoperative morbidity after sacrocolpopexy according to age in Korean women." Obstetrics & gynecology science 58.1 (2015): 59-64.
  • 5. Dadali M, et al. "Kolpoklezis; Pelvik Organ Prolapsuslu İleri Yaş Kadın Hastalarda Başarı Oranı Yüksek Bir Cerrahi Teknik." Journal of Reconstructive Urology 5.1 (2014): 33-38.
  • 6. Ghezzi F, Cromi A, Uccella S, et al. Immediate Foley removal after laparoscopic and vaginal hysterectomy: determinants of postoperative urinary retention. J Minim Invasive Gynecol 2007;14:706-711.
  • 7. Stepp KJ, Barber MD, Yoo EH, et al. Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol 2005;192(5):1630–1636.
  • 8. Solomon ER, Frick AC, Paraiso MF, et al. Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients. Am J Obstet Gynecol 2010;203(5):510.e1–510.e4.
  • 9. Oresanva LB, Lyons WL, Finlayson E. Preoperative assessment of the older patient: a narrative review. JAMA 2014;311(20):2110–2120.
  • 10. J. Manonai &R. Wattanayingcharoencha Surgical treatment for pelvic organ prolapse in elderly women J Obstet Gynaecol, 35 (1), 82-4
  • 11. Sarma S, Ying T, Moore KH. Long-term vaginal ring pessary use: discontinuation rates and adverse events. BJOG 2009;116:1715-1721.
  • 12. FitzGerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H; Ann Weber for the Pelvic Floor Disorders Network. Colpocleisis: a review. Int Urogynecol J Pelvic Floor Dysfunct 2006;17(3):261-71
  • 13. Fitzgerald MP, Richter HE, Bradley CS, Ye W, Visco AC, Cundiff GW, et al.; Pelvic Floor Disorders Network. Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis. Int Urogynecol J Pelvic Floor Dysfunct 2008;19(12):1603-9.
  • 14. Hullfish KL, Bovbjerg VE, Steers WD. Colpocleisis for pelvic organ prolapse: patient goals, quality of life, and satisfaction. Obstet Gynecol 2007;110(2 Pt 1):341-5.
  • 15. Goode PS, Fitzgerald MP, Richter HE, et al. Enhancing participation of older women in surgical trials. J Am Coll Surg 2008;207:303-311. 16. Fitzgerald MP, Richter HE, Siddique S, et al. Colpocleisis: a review. Int Urogynecol J 2006;17:261-271.
  • 17. Huang AJ, Subak LL, Thom DH, et al. Sexual function and aging in racially and ethnically diverse women. J Am Geriatr Soc 2009;57: 1362-1368.

Is Advanced Age a Restriction in Urogynecological Operations?

Year 2022, Volume: 3 Issue: 1, 1 - 5, 15.01.2022

Abstract

Recent studies show an increase in pelvic floor disorders with the increasing advanced-age population. Comorbid chronic diseases in the advanced-age population increase the incidence of mortality and morbidity in surgical options, which are effective treatment methods for pelvic floor disorders. We analyzed the feasibility, reliability and outcomes of urogynaecology surgeries performed due to pelvic floor disorders in our study. This retrospective study analysed all females who had undergone any surgical operation for pelvic floor disorders at Atatürk University, Department of Obstetrics and Gynecology between January 2010 and December 2019. Only females over 65 years of age were included in the study. The data on the patients’ age, gravida, parity, chronic diseases and degree of pelvic organ prolapse were obtained from medical records. Prolapse was assessed using the POP-Q grading system. The type of surgical procedures, operative parameters, and intraoperative or postoperative complications were determined from the records. Of 105 patients included in the study, the mean age was calculated as 70.32±4.59 years (range, 65–82 years), and body mass index (BMI) was calculated as 27.4±4.44 kg. Intraoperative blood loss exceeding 500 ml was observed only in four of 105 patients. No adjacent organ injury was observed in any of the patients during the operation. Only one case of hematoma at the sixth postoperative hour was observed, while three patients (2.86%) had recurrence in the postoperative follow-up period. We advocate that age should not be a restriction for the surgical treatment of pelvic floor disorders if patients are appropriately selected and operated on by a team of experts.

References

  • 1. Fabio Ghezzi, Stefano Uccella, Antonella Cromi, et al. Surgical treatment for pelvic floor disorders in women 75 years or older: a single-center experience Menopause: The Journal of The North American Menopause Society Vol. 18, No. 3, pp. 314/318.
  • 2. Unger CA, Hickman LC, Mitchell-Handley B, et al. The Incidence of Perioperative Adverse Events in the Very Elderly Undergoing Urogynecologic Surgery. Female Pelvic Med Reconstr Surg. 2016 Nov/Dec;22(6):425-429.
  • 3. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008;300:1311-1316.
  • 4. Oh, Sumin, et al. "Perioperative and postoperative morbidity after sacrocolpopexy according to age in Korean women." Obstetrics & gynecology science 58.1 (2015): 59-64.
  • 5. Dadali M, et al. "Kolpoklezis; Pelvik Organ Prolapsuslu İleri Yaş Kadın Hastalarda Başarı Oranı Yüksek Bir Cerrahi Teknik." Journal of Reconstructive Urology 5.1 (2014): 33-38.
  • 6. Ghezzi F, Cromi A, Uccella S, et al. Immediate Foley removal after laparoscopic and vaginal hysterectomy: determinants of postoperative urinary retention. J Minim Invasive Gynecol 2007;14:706-711.
  • 7. Stepp KJ, Barber MD, Yoo EH, et al. Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol 2005;192(5):1630–1636.
  • 8. Solomon ER, Frick AC, Paraiso MF, et al. Risk of deep venous thrombosis and pulmonary embolism in urogynecologic surgical patients. Am J Obstet Gynecol 2010;203(5):510.e1–510.e4.
  • 9. Oresanva LB, Lyons WL, Finlayson E. Preoperative assessment of the older patient: a narrative review. JAMA 2014;311(20):2110–2120.
  • 10. J. Manonai &R. Wattanayingcharoencha Surgical treatment for pelvic organ prolapse in elderly women J Obstet Gynaecol, 35 (1), 82-4
  • 11. Sarma S, Ying T, Moore KH. Long-term vaginal ring pessary use: discontinuation rates and adverse events. BJOG 2009;116:1715-1721.
  • 12. FitzGerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H; Ann Weber for the Pelvic Floor Disorders Network. Colpocleisis: a review. Int Urogynecol J Pelvic Floor Dysfunct 2006;17(3):261-71
  • 13. Fitzgerald MP, Richter HE, Bradley CS, Ye W, Visco AC, Cundiff GW, et al.; Pelvic Floor Disorders Network. Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis. Int Urogynecol J Pelvic Floor Dysfunct 2008;19(12):1603-9.
  • 14. Hullfish KL, Bovbjerg VE, Steers WD. Colpocleisis for pelvic organ prolapse: patient goals, quality of life, and satisfaction. Obstet Gynecol 2007;110(2 Pt 1):341-5.
  • 15. Goode PS, Fitzgerald MP, Richter HE, et al. Enhancing participation of older women in surgical trials. J Am Coll Surg 2008;207:303-311. 16. Fitzgerald MP, Richter HE, Siddique S, et al. Colpocleisis: a review. Int Urogynecol J 2006;17:261-271.
  • 17. Huang AJ, Subak LL, Thom DH, et al. Sexual function and aging in racially and ethnically diverse women. J Am Geriatr Soc 2009;57: 1362-1368.
There are 16 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Research Articles
Authors

Emsal Pınar Topdağı Yılmaz 0000-0001-8593-5726

Ömer Yapça 0000-0002-5578-0126

Gamze Nur Cimilli Şenocak 0000-0002-6750-9210

Yunus Emre Topdağı 0000-0003-0656-0765

Metin İngeç 0000-0001-8585-0968

Ragıp Al 0000-0003-2921-1891

Yakup Kumtepe This is me 0000-0002-4998-8262

Publication Date January 15, 2022
Submission Date January 15, 2021
Published in Issue Year 2022 Volume: 3 Issue: 1

Cite

EndNote Topdağı Yılmaz EP, Yapça Ö, Cimilli Şenocak GN, Topdağı YE, İngeç M, Al R, Kumtepe Y (January 1, 2022) Is Advanced Age a Restriction in Urogynecological Operations?. New Trends in Medicine Sciences 3 1 1–5.