title: A retrospective cohort study of perioperative management on the morbidity of urogynecologic surgery.
abstract: OBJECTIVE
  To determine whether premenopausal and early (<70) and late postmenopausal women whose comorbidities were screened and managed using a standardized protocol experienced comparable perioperative complications after urogynecologic surgery.
  
  
  METHODS
  We retrospectively reviewed the charts of all women who presented for surgical management of their pelvic floor disorders over 4.5 years for any complications, which occurred intraoperatively to 6 weeks postoperatively.
  
  
  RESULTS
  Late postmenopausal women underwent more vaginal (100/124, 159/246, and 226/288, p < 0.001) and obliterative (15/124, 0/246, and 4/288, p < 0.001), and fewer abdominal (9/124, 87/246, and 58/288, p < 0.001) procedures and had lower body mass index (27.1, 31.4, and 29.4, P < 0.001) and fewer smokers (4/124, 86/246, and 52/288, p < 0.001) than premenopausal and early postmenopausal subjects. After adjusting for these differences, the proportions that experienced perioperative complications were similar among the three groups (P = 0.789).
  
  
  CONCLUSIONS
  With standardized screening and management, our premenopausal and early and late postmenopausal women experienced similar perioperative complications.
authors.affiliation: Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics & Gynecology, School of Medicine, West Virginia University, PO Box 9186, Morgantown, WV, 26506-9186, USA, esze@hsc.wvu.edu.
authors.forename: Eddie H M
authors.initials: EH
authors.lastname: Sze
authors.forename: Preiya
authors.initials: P
authors.lastname: Jain
authors.forename: Gerry
authors.initials: G
authors.lastname: Hobbs
mesh_terms: D000005:Abdomen / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D015992:Body Mass Index; D015897:Comorbidity; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D016015:Logistic Models; D008875:Middle Aged; D059952:Pelvic Floor Disorders / Q000601:surgery*; D047648:Perimenopause; D059035:Perioperative Period; D017698:Postmenopause; D011183:Postoperative Complications / Q000209:etiology*; D017697:Premenopause; D012189:Retrospective Studies; D012907:Smoking; D014621:Vagina / Q000601:surgery