title: Patient-reported outcomes after combined surgery for pelvic floor disorders in older compared to younger women.
abstract: OBJECTIVE
  The purpose of this study was to compare patient-reported outcomes after combined surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) between older and younger women.
  
  
  METHODS
  This was a retrospective cohort study including 122 younger (<65 years) and 70 older women (>/=65 years old) who underwent combined POP and SUI surgery. SUI and POP treatment failure were based on validated measures. Logistic regression was used to calculate adjusted odds ratios and 95% confidence interval [CI].
  
  
  RESULTS
  Mean follow-up was 10 +/- 1.2 months. Women in both age groups reported significant improvement in symptoms and life impact postoperatively. In multivariable analyses, older women had an increased odds of SUI treatment failure (adjusted odds ratio [AOR], 1.10; 95% CI, 1.05-2.5), but not POP treatment failure (AOR, 0.90; 95% CI, 0.29-2.8).
  
  
  CONCLUSIONS
  Women 65 years and older undergoing combined surgery for POP and SUI are at risk for recurrent SUI, but still experience significant improvements in symptoms and life impact.
authors.affiliation: Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence, RI, USA.
authors.forename: Vivian W
authors.initials: VW
authors.lastname: Sung
authors.forename: Katharine
authors.initials: K
authors.lastname: Joo
authors.forename: Felisha
authors.initials: F
authors.lastname: Marques
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Myers
mesh_terms: D000367:Age Factors; D000368:Aged; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D017773:Pelvic Floor; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods