Journal ArticleDOI
Non-surgical and Surgical Management of Pelvic Organ Prolapse in the Older Woman
TLDR
Older women with prolapse should be evaluated with emphasis on functional status and individualized assessment of risks, benefits, and alternatives of therapies, as in other areas of geriatric medicine.Abstract:
Purpose of Review
Pelvic organ prolapse (POP) is a common condition that can adversely affect quality of life in older women. With the current trend in longevity, the number of women with this problem will exceed the availability of subspecialists in Female Pelvic Medicine and Reconstructive Surgery. The purpose of this paper is to aid primary care physicians, geriatricians, and general gynecologists in the evaluation, referral, and treatment of women with POP. Women can be quickly evaluated and offered therapy prior to referral to a subspecialist.read more
Citations
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Journal Article
An Update on the Current and Future Demand for Care for Pelvic Floor Disorders in the United States.
TL;DR: The demand for care for pelvic floor disorders in the United States will increase by 35% between 2010 and 2030, and this new, more accurate projection for 2030 is based on improved baseline data from 2010 and is 72% higher than the authors predicted in 2000.
Journal ArticleDOI
Frailty, Cognitive Impairment, and Functional Disability in Older Women With Female Pelvic Floor Dysfunction
Elisabeth A. Erekson,Terri R. Fried,Deanna K. Martin,Thomas J. Rutherford,Kris Strohbehn,Julie P.W. Bynum +5 more
TL;DR: It is demonstrated that frailty, cognitive impairment, and functional disability are prevalent among older women seeking treatment for PFD, and 46% chose surgical options for treatment of their PFD.
Journal ArticleDOI
Morbidity and mortality of incontinence surgery in elderly women : an analysis of medicare data
TL;DR: In this paper, the authors examined length of hospital stay, complications, morbidity, and mortality associated with surgery for urinary incontinence in women >65 years old, and found that patients who died had higher rates of diabetes and heart failure but not of hypertension.
Non-obstetric risk factors for symptomatic pelvic organ prolapse- a population-based cross-sectional study in Sweden
TL;DR: A population-based cross-sectional study derived from a sample of 5489 Stockholm women, 30 to 79 years old, who answered a validated questionnaire for the identification of symptomatic prolapse, found that women with an intact uterus and no prior surgery for incontinence or prolapse were included.
References
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Journal ArticleDOI
The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction
Richard C. Bump,Anders Mattiasson,Kari Bø,Linda Brubaker,John O.L. DeLancey,Peter Klarskov,Bob L. Shull,Anthony R. Smith +7 more
TL;DR: A standard system of terminology recently approved by the International Continence Society, the American Urogynecologic Society, and the Society of Gynecologic Surgeons for the description of female pelvic organ prolapse and pelvic floor dysfunction is presented.
Journal ArticleDOI
Prevalence of symptomatic pelvic floor disorders in US women
Ingrid Nygaard,Matthew D. Barber,Kathryn L. Burgio,Kathryn L. Burgio,Kimberly Kenton,Susan Meikle,Joseph I. Schaffer,Cathie Spino,William E. Whitehead,Jennifer M. Wu,Debra J. Brody +10 more
TL;DR: A cross-sectional analysis of 1961 nonpregnant women who participated in the 2005-2006 National Health and Nutrition Examination Survey, a nationally representative survey of the US noninstitutionalized population, found no differences in prevalence by racial/ethnic group.
Reference EntryDOI
Surgical management of pelvic organ prolapse in women
TL;DR: Meta-analysis on the impact of continence surgery at the time of prolapse surgery was performed with data from seven studies, and abdominal sacral colpopexy was associated with a lower rate of recurrent vault prolapse and dyspareunia than with vaginal sacrospinous col popexy.
Journal ArticleDOI
Lifetime Risk of Stress Urinary Incontinence or Pelvic Organ Prolapse Surgery
TL;DR: The lifetime risk of any primary surgery for SUI or POP in women is found to be 20.0% by the age of 80 years, based on a U.S. claims and encounters database from 2007 to 2011.
Journal ArticleDOI
Forecasting the prevalence of pelvic floor disorders in U.S. Women: 2010 to 2050.
TL;DR: The prevalence of pelvic floor disorders will increase substantially given the changing demographics in the United States and this increase has important implications for public health and the field of gynecology.