title: Challenges of Longevity: Safety of Vaginal and Laparoscopic Urogynecological Procedures in Septuagenarians and Older Patients.
abstract: Introduction. Pelvic organ prolapse (POP) and urinary incontinence (UI) have increasing prevalence in the elderly population. The aim of this study was to compare the comorbidities of these procedures between <70 y/o and ≥70 y/o patients.Materials and Methods. In our retrospective study over a period of 2.5 years, 407 patients had received an urogynecological procedure. All patients with POP were treated by reconstructive surgery. Complications were reported using the standardized classification of Clavien-Dindo (CD). The study can be assigned to stage 2b Exploration IDEAL (Idea, Development, Exploration, Assessment, Long-term study)-system of surgical innovation.Results. Operation time, blood loss, and intraoperative complications have not been more frequent in the elderly, whereas hospital stay was significantly longer in ≥70 y/o patients. Regarding postoperative complications, we noticed that ≥70 y/o patients had an almost threefold risk to develop mild early postoperative complications compared to younger patients (OR: 2.86; 95% CI: 1.76-4.66). On the contrary, major complications were not more frequent. No case of life-threatening complication or the need for blood transfusion was reported.Conclusion. After urogynecological procedures, septuagenarians and older patients are more likely to develop mild postoperative complications but not more intraoperative or severe postoperative complications compared to younger patients.
authors.affiliation: Department of Obstetrics and Gynecology, University of Würzburg, Würzburg, Germany; Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany.
authors.forename: R
authors.identifier: 0000-0002-0127-480X
authors.initials: R
authors.lastname: Joukhadar
authors.affiliation: Department of Obstetrics and Gynecology, University of Würzburg, Würzburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Wöckel
authors.affiliation: Department of Obstetrics and Gynecology, University of Würzburg, Würzburg, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Herr
authors.affiliation: Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany.
authors.forename: V
authors.initials: V
authors.lastname: Paulus
authors.affiliation: Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Radosa
authors.affiliation: Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Hamza
authors.affiliation: Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Solomayer
authors.affiliation: Department of Obstetrics and Gynecology, University of Saarland, Homburg, Germany; Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
authors.forename: S
authors.identifier: 0000-0001-6057-6042
authors.initials: S
authors.lastname: Baum
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology*; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013526:Surgical Mesh; D014549:Urinary Incontinence / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000601:surgery