Impact of age on mid‐ to long‐term outcomes of transvaginal native tissue repair for apical vaginal prolapse

Aims To compare surgical success rates in older versus younger women a minimum of 3 years post transvaginal native tissue repair for apical prolapse. Post‐operative symptom severity and quality of life improvement, surgical complications and retreatment were also examined. Methods Women who underwen...

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Bibliographic Details
Published in:Neurourology and urodynamics 2018-11, Vol.37 (8), p.2860-2866
Main Authors: Kissane, Lindsay M., Meyer, Isuzu, Martin, Kimberly D., Tan, Jubilee C., Miller, Kathryn, Richter, Holly E.
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
aging
Decision making
Female
geriatric
Gynecologic Surgical Procedures
Humans
Hysterectomy
Middle Aged
patient reported outcome measures
Patients
Pelvic Floor - surgery
pelvic organ prolapse
Postoperative Period
Quality of Life
Success
Surgery
Surveys and Questionnaires
Treatment Outcome
Uterine Prolapse - surgery
Vagina
Vagina - surgery
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Summary:Aims To compare surgical success rates in older versus younger women a minimum of 3 years post transvaginal native tissue repair for apical prolapse. Post‐operative symptom severity and quality of life improvement, surgical complications and retreatment were also examined. Methods Women who underwent transvaginal native tissue repair for apical prolapse between 2011 and 2013 were eligible. Subjects completed the pelvic floor distress inventory (PFDI‐20), pelvic floor impact questionnaire (PFIQ‐7), and patient global impression of improvement (PGI‐I), and were categorized as “younger” (age  0.05). Conclusions Older and younger women had similar surgical success rates a minimum of 3 years post‐operative; however, older women had a greater overall symptom severity improvement. This information may be helpful in counseling older women regarding surgical expectations and decision‐making.
ISSN:0733-2467
1520-6777
DOI:10.1002/nau.23803