title: Evaluation and Management of Pelvic Organ Prolapse in Elderly Women.
abstract: Pelvic organ prolapse is a common disease in elderly patients. The most important symptom is vaginal bulge (bulge sensation or the sensation of something coming down through the vaginal introitus). This symptom is not different than in the general population. Diagnosis can be confirmed using just vaginal examinations to identify the presence of protrusion beyond the hymen, and is not different than in the general population. Different treatment options are available, including observation, nonsurgical, and surgical techniques. Pessaries and colpocleisis are the treatment options used more often in elderly patients than in the general population.
authors.affiliation: Department of Urology, Center for Female Pelvic Medicine and Reconstructive Surgery, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA; Urogynecology Unit, Dr. Sotero del Rio Hospital, Av Concha y Toro 3459, Santiago 8207257, Chile; Division de Obstetricia y Ginecologia, Pontificia Universidad Catolica de Chile, Avenida Libertador Bernardo O Higgins 340, Santiago 8331150, Chile. Electronic address: jpizarro@med.puc.cl.
authors.forename: Javier
authors.initials: J
authors.lastname: Pizarro-Berdichevsky
authors.affiliation: Department of Urology, Center for Female Pelvic Medicine and Reconstructive Surgery, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
authors.forename: Marisa M
authors.initials: MM
authors.lastname: Clifton
authors.affiliation: Department of Urology, Center for Female Pelvic Medicine and Reconstructive Surgery, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
authors.forename: Howard B
authors.initials: HB
authors.lastname: Goldman
mesh_terms: D000369:Aged, 80 and over; D019468:Disease Management; D015444:Exercise; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D009119:Muscle Contraction; D056887:Pelvic Organ Prolapse / Q000523:psychology / Q000628:therapy*; D010570:Pessaries / Q000009:adverse effects*; D011788:Quality of Life; D014621:Vagina / Q000601:surgery*
keywords: Elderly women; Pelvic organ; Prolapse; Vaginal bulge