TY  - JOUR
A1  - Joukhadar, R.
A1  - Wöckel, A.
A1  - Herr, D.
A1  - Paulus, V.
A1  - Radosa, J.
A1  - Hamza, A.
A1  - Solomayer, E.
A1  - Baum, S.
T1  - Challenges of Longevity: Safety of Vaginal and Laparoscopic Urogynecological Procedures in Septuagenarians and Older Patients
JF  - BioMed Research International
N2  - Introduction. Pelvic organ prolapse (POP) and urinary incontinence (UI) have increasing prevalence in the elderly population. The aim of this study was to compare the comorbidities of these procedures between <70 y/o and ≥70 y/o patients. Materials and Methods. In our retrospective study over a period of 2.5 years, 407 patients had received an urogynecological procedure. All patients with POP were treated by reconstructive surgery. Complications were reported using the standardized classification of Clavien-Dindo (CD). The study can be assigned to stage 2b Exploration IDEAL (Idea, Development, Exploration, Assessment, Long-term study)-system of surgical innovation. Results. Operation time, blood loss, and intraoperative complications have not been more frequent in the elderly, whereas hospital stay was significantly longer in ≥70 y/o patients. Regarding postoperative complications, we noticed that ≥70 y/o patients had an almost threefold risk to develop mild early postoperative complications compared to younger patients (OR: 2.86; 95% CI: 1.76–4.66). On the contrary, major complications were not more frequent. No case of life-threatening complication or the need for blood transfusion was reported. Conclusion. After urogynecological procedures, septuagenarians and older patients are more likely to develop mild postoperative complications but not more intraoperative or severe postoperative complications compared to younger patients.
KW  - gynecologic surgical procedures/methods
KW  - postoperative complications/epidemiology
KW  - vagina/surgery
KW  - pelvic organ prolapse/surgery
KW  - middle Aged
KW  - laparoscopy/methods
KW  - uterine prolapse/surgery
KW  - urinary incontinence/surgery
KW  - surgical Mesh
KW  - retrospective Studies
KW  - age factors
KW  - aged
KW  - aged 80 and over
KW  - female
KW  - reconstructive surgical procedures/methods
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-161005
VL  - 2016
IS  - Article ID 5184595
ER  -