Surgical repair of pelvic organ prolapse in elderly patients

Current Opinion in Urology
Ryan M KrlinJ Christian Winters

Abstract

Epidemiologic data suggests that our population greater than 65 years of age will nearly double. In addition, the incidence of women undergoing surgery for pelvic organ prolapse will rise. Chronologic age does not preclude a woman from undergoing a reconstructive procedure, yet the preoperative assessment should be approached most judiciously with great care to insure patient is maximally medically prepared for surgery. Surgical procedures in this review include: the abdominal sacral colpopexy, anterior repair, posterior repair, sacrospinous ligament fixation, uterosacral suspension, and iliococcygeus fixation. The advent of robotic surgery has decreased the perioperative morbidity of several of these procedures. However, the risk of more severe complications does appear higher following robotic procedures, when compared with vaginal procedures. Intuitively, one would surmise that there is a point where vaginal surgery should be considered as the primary procedure based on age, risk and durability of the surgery - unfortunately that age is not clear. Thus, the proper selection of prevalence of organ prolapse surgery can only be done after careful discussion with the patient and including the patient in the selection process as ...Continue Reading

References

Jun 1, 1993·American Journal of Obstetrics and Gynecology·B L ShullT J Kuehl
Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
May 1, 1997·British Journal of Obstetrics and Gynaecology·J MantM Vessey
Jun 1, 1997·American Journal of Obstetrics and Gynecology·J O DeLancey, G W Morley
Dec 22, 1999·American Journal of Obstetrics and Gynecology·K KentonL Brubaker
Dec 20, 2000·American Journal of Obstetrics and Gynecology·M P FitzgeraldD Fenner
Jun 18, 2002·American Journal of Obstetrics and Gynecology·Susan L HendrixAnne McTiernan
Jul 16, 2003·American Journal of Obstetrics and Gynecology·Walter S von PechmannDouglass S Hale
Nov 25, 2003·American Journal of Obstetrics and Gynecology·Mary P FitzGerald, Linda Brubaker
Jan 8, 2004·American Journal of Obstetrics and Gynecology·Marc R Toglia, Thomas E Nolan
Oct 2, 2004·Obstetrics and Gynecology·Ingrid E NygaardUNKNOWN Pelvic Floor Disorders Network
Feb 18, 2005·Acta Obstetricia Et Gynecologica Scandinavica·Karlijn J SchweitzerAlfredo L Milani
May 20, 2005·American Journal of Obstetrics and Gynecology·Kevin J SteppMark D Walters
May 20, 2005·American Journal of Obstetrics and Gynecology·Marie Fidela R ParaisoCathy Hugney
Aug 8, 2006·American Journal of Obstetrics and Gynecology·Wayne H FriedmanWilliam J Hoskins
Nov 18, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Matthew D BarberMark D Walters
Feb 13, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·C ReenaN Kekre
Jun 1, 2007·Journal of the American Geriatrics Society·Holly E RichterUNKNOWN Pelvic Floor Disorders Network
Aug 7, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Michael F FialkowNoel S Weiss
Aug 12, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·M P FitzgeraldUNKNOWN Pelvic Floor Disorders Network
Sep 19, 2008·JAMA : the Journal of the American Medical Association·Ingrid NygaardUNKNOWN Pelvic Floor Disorders Network
Nov 13, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Shameem AbbasyLinda Brubaker
Nov 28, 2008·Menopause International·Natalia PriceSimon Jackson
Dec 19, 2008·The Journal of Urology·Katie N BallertVictor W Nitti
Nov 26, 2009·Obstetrics and Gynecology·Jennifer M WuEvan R Myers
Dec 5, 2009·International Urogynecology Journal·Robert E GutmanUNKNOWN Pelvic Floor Disorders Network
Dec 9, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V MisraiV Delmas
May 7, 2011·American Journal of Obstetrics and Gynecology·Lauren ChmielewskiMatthew D Barber
May 14, 2011·International Urogynecology Journal·Aimee L SmithG Willy Davila
May 24, 2011·American Journal of Obstetrics and Gynecology·Jennifer M WuVivian W Sung
Jun 22, 2012·The New England Journal of Medicine·John T WeiUNKNOWN Pelvic Floor Disorders Network
Aug 29, 2012·Urology·Michelle E KoskiJ Christian Winters
Oct 18, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Payton JohnsonJohn O L Delancey
Oct 24, 2012·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins—Gynecology
Mar 12, 2013·The Journal of Urology·Joy A GreerLily A Arya
Jun 26, 2013·Female Pelvic Medicine & Reconstructive Surgery·Barbara L RobinsonCatherine A Matthews
Oct 10, 2013·Obstetrics and Gynecology·Karyn S EilberJennifer T Anger
Mar 13, 2014·JAMA : the Journal of the American Medical Association·Matthew D BarberUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Pelvic Floor Disorders Network
Oct 28, 2015·Female Pelvic Medicine & Reconstructive Surgery·Heather M BarbierDaniel D Gruber

❮ Previous
Next ❯

Citations

Oct 26, 2016·Chinese Medical Journal·Ting-Ting CaoJian-Liu Wang
Mar 18, 2017·Obstetrical & Gynecological Survey·Gunhilde M Buchsbaum, Toy Gee Lee
Jun 20, 2020·International Urogynecology Journal·Alice DrainDominique Pape
Feb 16, 2021·International Urogynecology Journal·Adem SanciOmer Gülpinar

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
hysterectomy
dissection

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.

Related Papers

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
S W BaiD J Chung
Female Pelvic Medicine & Reconstructive Surgery
Nazanin EhsaniStephanie M Molden
Current Opinion in Obstetrics & Gynecology
Tajnoos YazdanyNarender Bhatia
Gynécologie, obstétrique & fertilité
J-P EstradeL Cravello
Taiwanese Journal of Obstetrics & Gynecology
Yiap Loong TanAnil Krishna Dass
© 2022 Meta ULC. All rights reserved