title: [Vaginal repair operation for anterior pelvic organ prolapse in elderly women].
abstract: OBJECTIVE
  To identify the safety and efficacy of individualized vaginal surgery for anterior pelvic organ prolapse (POP) in elderly women so as to provide a clinical basis for studies on improving life quality by treatment in elderly women.
  
  
  METHODS
  The individuation group consisted of 90 patients with a diagnosis of anterior POP. All over 60 years old, they underwent individualized vaginal surgery. The safety and efficacy, POP quantitative examination POP-Q change, cure and recurrence rate and life quality scores on incontinence and pelvic floor distress and impact were assessed. The control group (n = 60) was composed of patients (> 60 yr old) with a diagnosis of anterior POP were performed with Kelly-Kennedy operation. Their safety, efficacy, cure and recurrence rates were compared.
  
  
  RESULTS
  Individualized vaginal surgery in elderly women was both safe and effective. The post-therapeutic recovery time was shorter (P < 0.05), the cure rate higher and the recurrence rate lower (P < 0.05) than that of control group. The life quality after individualized surgery improved (P < 0.01).
  
  
  CONCLUSIONS
  The individualized vaginal surgery is safe and effective for a correction of anterior POP in elderly women. The life quality improves after operation.
authors.affiliation: Department of Obstetrics & Gynecology, Beijing Hospital, Beijing 100730, China.
authors.forename: Wen-hui
authors.initials: WH
authors.lastname: Deng
authors.forename: Qiu-bo
authors.initials: QB
authors.lastname: Lü
authors.forename: Feng-hua
authors.initials: FH
authors.lastname: Wei
authors.forename: Gui-hua
authors.initials: GH
authors.lastname: Shen
authors.forename: Qing-wei
authors.initials: QW
authors.lastname: Meng
authors.forename: Feng-li
authors.initials: FL
authors.lastname: Wu
authors.forename: Han-song
authors.initials: HS
authors.lastname: Li
authors.forename: Zhan-hong
authors.initials: ZH
authors.lastname: Jiang
authors.forename: Lin
authors.initials: L
authors.lastname: Liang
authors.forename: Chang-ying
authors.initials: CY
authors.lastname: Kang
authors.forename: Ai-ming
authors.initials: AM
authors.lastname: Lü
authors.forename: Yi
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D014621:Vagina / Q000601:surgery*