title: Comparison of the Efficiency of Posterior Intravaginal Sling (PIVS) Procedure in Older and Younger Groups.
abstract: BACKGROUND
  Vaginal vault prolapsus is a challenging problem for the patients and physicians. There may be differences between young and elderly patients in terms of efficiency and safety of surgical procedures.
  
  
  OBJECTIVE
  The aim of our study was to compare the efficiency of the Posterior Intravaginal Sling (PIVS) procedure in older versus younger patient groups.
  
  
  METHODS
  A total of 40 patients who underwent the PIVS procedure were chosen. Twenty of these patients were younger than 60 years of age (Group I) while the other 20 patients were 60 years of age or older (Group II). Preoperative Pelvic Organ Prolapsed Quantification (POP-Q) reference points were compared with postoperative data at the first year following surgery. Student's t-test was used to analyse continuous variables and the χ(2) test was used to analyse categorical data. The Mann-Whitney test was used for data that were not normally distributed.
  
  
  RESULTS
  Anatomical cure rates were 90 percent in both groups (p=1.00). There were significantly greater improvements in POP-Q points in group I than group II.
  
  
  CONCLUSIONS
  It could be concluded that PIVS as minimally invasive procedure for vaginal vault prolapsed and is effective in all age groups.
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynecology, Selcuk University , Konya, Turkey .
authors.forename: Tolgay Tuyan
authors.initials: TT
authors.lastname: Ilhan
authors.affiliation: Associate Professor, Katip Celebi University, Ataturk Training and Research Hospital, Obstetrics and Gynecology Clinics , Izmir, Turkey .
authors.forename: Akin
authors.initials: A
authors.lastname: Sivaslioglu
authors.affiliation: Assistant Professor, Beyhekim State Hospital , Konya, Turkey .
authors.forename: Türkan
authors.initials: T
authors.lastname: Ilhan
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynecology, Selcuk University , Konya, Turkey .
authors.forename: Mustafa Gazi
authors.initials: MG
authors.lastname: Uçar
authors.affiliation: Associate Professor, Etlik Zubeyde Hanım Women's and Maternity Research and Training Hospital , Ankara, Turkey .
authors.forename: İsmail
authors.initials: İ
authors.lastname: Dolen
keywords: Pelvic organ prolapsus; Risk factor for recurrence prolapsus; Vaginal vault prolapsus