The Journal of Urology
Volume 179, Issue 6 , Pages 2111-2118 , June 2008

Prolapse and Incontinence Surgery in Older Women

  • Kimberly A. Gerten

      Affiliations

    • Financial interest and/or other relationship with Pfizer.
    • Department of Obstetrics and Gynecology, Division of Women's Pelvic Medicine and Reconstructive Surgery, University of Alabama at Birmingham, Birmingham, Alabama
    • Corresponding Author InformationCorrespondence: 219 New Hillman Building, 619 19th St. South, Birmingham, Alabama 35249 (telephone: 205-996-5466; FAX: 205-975-8893).
    • ,
  • Alayne D. Markland

      Affiliations

    • Department of Medicine, Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham, Birmingham, Alabama
    • Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Birmingham, Alabama
    • ,
  • L. Keith Lloyd

      Affiliations

    • Department of Surgery, Division of Urology, University of Alabama at Birmingham, Birmingham, Alabama
    • ,
  • Holly E. Richter

      Affiliations

    • Financial interest and/or other relationship with Pfizer.
    • Department of Obstetrics and Gynecology, Division of Women's Pelvic Medicine and Reconstructive Surgery, University of Alabama at Birmingham, Birmingham, Alabama

Received 15 August 2007

References 

  1. Federal Interagency Forum on Aging-Related Statistics. Older Americans 2004: Key Indicators of Well-Being. Washington, D. C: U.S. Government Printing Office; 2004;
  2. Nygaard I, Thom DH, Calhoun EA. Urinary incontinence in women. In:  Litwin MS,  Saigal CS editor. Urologic Diseases in America (NIH Publication No. 07-5512. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases). Washington, D. C: U.S. Government Printing Office; 2007;p. 71–103chapt 3
  3. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501
  4. Clark AL, Gregory T, Smith VJ, Edwards R. Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol. 2003;189:1261
  5. Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JOL, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10
  6. Nygaard I, Bradley C, Brandt D Women's Health Initiative. Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol. 2004;104:489
  7. DeLancey JO. Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol. 1992;166:1717
  8. Norton C, Whitehead WE, Bliss DZ, Metsole P, Tries J. Conservative and pharmacologic management of fecal incontinence in adults. In:  Abrams P,  Cardozo L,  Khoury S,  Wein A editor. Incontinence, 3rd International Consultation on Incontinence. Paris: Health Publications Ltd; 2005;p. 1521–1564
  9. Barber MD, Amundsen CL, Paraiso MFR, Weidner AC, Romero A, Walters MD. Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:799
  10. Richter HE, Goode PS, Kenton K, Brown MB, Burgio KL, Kreder K, et al. The effect of age on short-term outcomes after abdominal surgery for pelvic organ prolapse. J Am Geriatr Soc. 2007;55:857
  11. Sung VW, Weitzen S, Sokol ER, Rardin CR, Myers DL. Effect of patient age on increasing morbitity and mortality following urogynecologic surgery. Am J Obstet Gynecol. 2006;194:1411
  12. Friedman WH, Gallup DG, Burke JJ, Meister EA, Hoskins WJ. Outcomes of octogenarians and nonagenarians in elective major gynecologic surgery. Am J Obstet Gynecol. 2006;195:547
  13. Stepp KJ, Barber MD, You E-H, Whiteside JL, Paraiso MF, Walters MD. Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol. 2005;192:1630
  14. Schweitzer KJ, Vierhout ME, Milani AL. Surgery for pelvic organ prolapse in women 80 years of age and older. Acta Obstet Gynecol Scand. 2005;84:286
  15. Carey JM, Leach GE. Transvaginal surgery in the octogenarian using cadaveric fascia for pelvic prolapse and stress incontinence: minimal one-year results compared to younger patients. Urology. 2003;63:665
  16. Moore RD, Miklos JR. Colpocleisis and tension-free vaginal tape sling for severe uterine and vaginal prolapse and stress urinary incontinence under local anesthesia. J Am Assoc Gynecol Laparosc. 2003;10:276
  17. Vetere PF, Putterman S, Kesselman E. Major reconstructive surgery for pelvic organ prolapse in elderly women, including the medically compromised. J Reprod Med. 2003;48:417
  18. Brubaker L. Surgery for pelvic organ prolapse. In:  Abrams P,  Cardozo L,  Khoury S,  Wein A editor. Incontinence, 3rd International Consultation on Incontinence. Paris: Health Publications Ltd; 2005;p. 1371–1402
  19. Wheeler TL, Richter HE, Duke AG, Burgio KL, Redden DT, Varner RE. Outcomes with porcine graft placement in the anterior vaginal compartment in patients who undergo high vaginal uterosacral suspension and cystocele repair. Am J Obstet Gynecol. 2006;194:1486
  20. Weber AM, Richter HE. Pelvic organ prolapse. Obstet Gynecol. 2005;106:615–634
  21. Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schluter P. Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol. 2004;190:20
  22. Silva WA, Pauls RN, Segal JL, Rooney CM, Kleeman SD, Karram MM. Uterosacral ligament vault suspension: five-year outcomes. Obstet Gynecol. 2006;108:255
  23. Wheeler TL, Richter HE, Burgio KL, Redden DT, Chen CC, Goode PS, et al. Regret, satisfaction, and symptom improvement: analysis of the impact of partial colpocleisis for the management of severe pelvic organ prolapse. Am J Obstet Gynecol. 2005;193:2067
  24. DeLancey JO, Morley GW. Total colpoceisis for vaginal eversion. Am J Obstet Gynecol. 1997;176:1228
  25. Hellberg D, Holmgren C, Lanner L, Nilsson S. The very obese and the very old woman: tension-free vaginal tape for the treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:423
  26. Touloupidis S, Papatsoris AG, Thanopoulos C, Charalambous S, Giannakopoulos S, Rombis V. Tension-free vaginal tape for the treatment of stress urinary incontinence in geriatric patients. Gerontology. 2007;53:125
  27. Liapis A, Panagiotis B, Giner M, Creatsas G. Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence. Gynecol Obstet Invest. 2006;62:160
  28. Gordon G, Gold R, Pauzner D, Lessing JB, Groutz A. Tension-free vaginal tape in the elderly: is it a safe procedure?. Urology. 2005;65:479
  29. Pugsley H, Barbrook C, Mayne CJ, Tincello DG. Morbidity of incontinence surgery in women over 70 years old: a retrospective cohort study. BJOG. 2005;112:786
  30. Allahdin S, McKinley CA, Mahmood TA. Tension free vaginal tape: a procedure for all ages. Acta Obstet Gynecol Scand. 2004;83:937
  31. Walsh K, Generao SE, White MJ, Katz D, Stone AR. The influence of age on quality of life outcome in women following a tension-free vaginal tape procedure. J Urol. 2004;171:1185
  32. Karantanis E, Fynes MM, Stanton SL. The tension-free vaginal tape in older women. BJOG. 2004;111:837
  33. Centinel B, Oktay D, Bulent O, Akkus E, Alan C, Can G. Are there any factors predicting the cure and complication rates of tension-free vaginal tape?. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15:188
  34. Sevestre S, Ciofu C, Deval B, Traxer O, Amerenco G, Haab F. Results of tension-free vaginal tape technique in the elderly. Eur Urol. 2003;44:128
  35. Tamussino K, Zivkovic F, Pieber D, Moser F, Haas J, Ralph G. Five-year results after anti-incontinence operations. Am J Obstet Gynecol. 1999;181:1347
  36. Carr LK, Walsh PJ, Abraham VE, Webster GD. Favorable outcome of pubovaginal slings for geriatric women with stress incontinence. J Urol. 1997;157:125
  37. Madoff RD. Surgery for fecal incontinence in women. In:  Abrams P,  Cardozo L,  Khoury S,  Wein A editor. Incontinence, 3rd International Consultation on Incontinence. Paris: Health Publications Ltd; 2005;p. 1565–1588
  38. Katz PR, Grossberg GT, Potter JF, Potter JF, Solomon DH. Geriatrics Syllabus for Specialists. New York: American Geriatrics Society; 2002;
  39. Roizen M, Cohn S. Preoperative evaluation for elective surgery: what laboratory tests are needed?. In:  Stoelting R editors. Advances in Anesthesia. vol 10:Chicago: Mosby-Year Book; 1993;p. 25
  40. Eagle KA, Berger PB, Calkins H, Chaitman BR, Ewy GA, Fleischmann KE, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery: executive summary—a report of the American College of Cardiology/American Heart Association Task force on practice guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for NoncardiacS). Circulation. 2002;105:1257
  41. Dyer CB, Ashton CM, Teasdale TA. Postoperative delirium (A review of 80 primary data-collection studies). Arch Intern Med. 1995;155:461
  42. Richter HE, Redden DT, Duxbury AS, Granieri EC, Halli AD, Goode PS. Pelvic floor surgery in the older woman: enhanced compared with usual preoperative assessment. Obstet Gynecol. 2005;105:800
  43. Williams-Russo P, Sharrock NE, Mattis S, Szatrowski TP, Charlson ME. Cognitive effects after epidural vs general anesthesia in older adults. A randomized trial. JAMA. 1995;274:44
  44. Segal JL, Owens G, Silva WA, Kleeman SD, Pauls R, Karram MM. A randomized trial of local anesthesia with intravenous sedation vs general anesthesia for the vaginal correction of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:807
  45. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med. 1996;334:1209
  46. ACOG Practice Bulletin No. 74 (Antibiotic prophylaxis for gynecologic procedures). Obstet Gynecol. 2006;108:225
  47. Bombeli T, Spahn DR. Updates in perioperative coagulation: physiology and management of thromboembolism and haemorrhage. Br J Anaesth. 2004;93:275
  48. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof E, Fleischmann KE, et al. ACC/AHA 2006 guideline update on perioperative cardiovascular evaluation for noncardiac surgery: focused update on perioperative beta-blocker therapy: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing committee to update the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery). Circulation. 2006;113:2662
  49. Manku K, Bacchetti P, Leung JM. Prognostic significance of postoperative in-hospital complications in elderly patients (I. Long term survival). Anesth Analg. 2003;96:583
  50. Morse AN, Labin LC, Young SB, Aronson MP, Gurwitz JH. Exclusion of elderly women from published randomized trials of stress incontinence surgery. Obstet Gynecol. 2004;104:498

 See Editorial on page 2092.

PII: S0022-5347(08)00236-X

doi: 10.1016/j.juro.2008.01.089

The Journal of Urology
Volume 179, Issue 6 , Pages 2111-2118 , June 2008

Article Tools

* Image Usage & Resolution