title: Correction of massive vaginal prolapse in an older population: a four-year experience at a rural tertiary care center.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Milton S Hershey Medical Center, Pennsylvania State University, Hershey 17033.
authors.forename: P F
authors.initials: PF
authors.lastname: Kaminski
authors.forename: J I
authors.initials: JI
authors.lastname: Sorosky
authors.forename: R C
authors.initials: RC
authors.lastname: Pees
authors.forename: E S
authors.initials: ES
authors.lastname: Podczaski
mesh_terms: 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*