Correction of massive vaginal prolapse in an older population: a four-year experience at a rural tertiary care center.
OBJECTIVE
To ascertain the success of complex reconstructive vaginal surgery in older women.


METHODS
Retrospective review of hospital and outpatient records.


METHODS
Rural tertiary care referral center, Pennsylvania State University Hospital, Hershey, Pennsylvania.


METHODS
Twenty-four patients referred for massive erosion of the vagina and/or complete procidentia.


METHODS
Symptoms and anatomic correction of patients' complaints.


RESULTS
After surgery, 83 percent were asymptomatic without pelvic relaxation, 4 percent were asymptomatic with pelvic relaxation, 4 percent were symptomatic without pelvic relaxation, and 9 percent were symptomatic with relaxation.


CONCLUSIONS
Older women can undergo major vaginal reconstructive surgery with relief of symptoms and restoration of vaginal depth and axis.
Kaminski
P F
PF
Department of Obstetrics and Gynecology, Milton S Hershey Medical Center, Pennsylvania State University, Hershey 17033.
Sorosky
J I
JI
Pees
R C
RC
Podczaski
E S
ES
D000328:Adult; D000367:Age Factors; D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D005260:Female; D006176:Gynecology / Q000379:methods / Q000592:standards*; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D010414:Pennsylvania / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012424:Rural Population; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000145:classification / Q000473:pathology / Q000601:surgery*