title: Outcomes of laparoscopic sacropexy in women over 70: A comparative study.
abstract: OBJECTIVE
  Precise data are lacking concerning laparoscopic sacropexy in the elderly population. The purpose of this study was to compare the outcomes and complications associated with laparoscopic sacropexy (colpopexy or hysteropexy) in women aged under 70 and 70 or over.
  
  
  METHODS
  Retrospective review of data on patients who underwent laparoscopic sacropexy in two tertiary centers. Peri- and postoperative complications were recorded and described using the IUGA classification. Surgery was considered successful if the patient was symptomatically satisfied or very satisfied and if the POP-Q (Pelvic Organ Prolapse-Quantification) stage score at the follow-up visit was below stage 2 for all compartments.
  
  
  RESULTS
  Among the 191 women studied, 47 (24.6%) were aged 70 or more. According to the ICS/IUGA classification of POP complications, perioperative and postoperative complication rates were similar in the older versus younger groups (bladder injuries (0 vs. 1.39%, p=1) (4A T1 S2), rectal injuries (0% vs. 0.69%, p=1) (5BT1S5), vaginal injuries (2.13% vs. 0%, p=0.246) (2A T1 S1)). No laparotomy conversion was required in either group. At two months of follow-up, the success rate was 97.9% and 95.1% in the older and younger groups, respectively (p=0.68). At 24 months of follow-up, the overall reoperation rate was 12.8% for the older group versus 11.8% in the younger group (p=0.80).
  
  
  CONCLUSIONS
  Our findings suggest that laparoscopic sacropexy is a valid option in elderly women presenting with genital prolapse.
authors.affiliation: APHP, Hôpital Antoine Béclère, Service de gynécologie obstétrique et biologie de la reproduction, Clamart, France.
authors.forename: Anne Sophie
authors.initials: AS
authors.lastname: Boudy
authors.affiliation: APHP, Hôpital Antoine Béclère, Service de gynécologie obstétrique et biologie de la reproduction, Clamart, France; APHP, Hôpital Cochin, Service de chirurgie gynécologique, Paris, France; Université Paris-Sud, UMR-S0782, Clamart, F-92140, France.
authors.forename: Thibault
authors.initials: T
authors.lastname: Thubert
authors.affiliation: APHP, Hôpital Antoine Béclère, Service de gynécologie obstétrique et biologie de la reproduction, Clamart, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Vinchant
authors.affiliation: APHP, Department of Urology, Bichat University Hospital, 46 rue Huchard, 75018 Paris, France.
authors.forename: Jean François
authors.initials: JF
authors.lastname: Hermieu
authors.affiliation: Service de Gynécologie-Obstétrique, Centre hospitalier René Dubos, Pontoise, F-95000, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Villefranque
authors.affiliation: APHP, Hôpital Antoine Béclère, Service de gynécologie obstétrique et biologie de la reproduction, Clamart, France; Université Paris-Sud, UMR-S0782, Clamart, F-92140, France. Electronic address: xavier.deffieux@aphp.fr.
authors.forename: Xavier
authors.initials: X
authors.lastname: Deffieux
mesh_terms: D000368:Aged; D000375:Aging; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control*; D010535:Laparoscopy / Q000009:adverse effects*; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000503:physiopathology / Q000517:prevention & control / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control*; D015995:Prevalence; D012007:Rectum / Q000293:injuries / Q000503:physiopathology; D012189:Retrospective Studies; D055502:Secondary Prevention; D012720:Severity of Illness Index; D013526:Surgical Mesh / Q000009:adverse effects*; D062606:Tertiary Care Centers; D001743:Urinary Bladder / Q000293:injuries / Q000503:physiopathology; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000293:injuries / Q000601:surgery*
keywords: Elderly; Functional results; Genital prolapse; Laparoscopy; Sacrocolpopexy