Jenn‑Ming Yanga, Wen‑Chen Huangb,c,d,e*
aDepartment of Obstetrics and Gynecology, Puli Christian Hospital, Nantou, Taiwan, bDepartment of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan, cDepartment of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan, dDepartment of Obstetrics and Gynecology, Sijhih Cathay General Hospital, New Taipei, Taiwan, eSchool of Medicine, National Tsing Hua University, Hsinchu, Taiwan
Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation
Abstract
Objectives: We aimed to explore 1‑year clinical and imaging outcomes among different age groups of women undergoing pelvic organ prolapse (POP) surgeries. Materials and Methods: We retrospectively analyzed a cohort of women undergoing primary POP surgeries. All women received preoperative as well as 12‑month postoperative assessments: clinical interview, pelvic exam, and introital four‑dimensional ultrasound. Women should be independent in everyday living and low‑risk on preoperative assessments to be eligible for surgeries. The primary outcome was composite POP outcomes comprising lump sensation, item 3 of the short version of the Pelvic Floor Distress Inventory, and points Ba, C, and Bp on POP Quantification classification system. The secondary outcomes were postoperative adverse occurrences, symptoms of stress urinary incontinence, overactive bladder, and voiding difficulty, as well as ultrasound findings. To control potential confounders in exploring the composite outcome, we adopted a linear regression to model the dependent measure. Results: There were 23, 90, 268, 100, and 41 women aged <51, 51–60, 61–70, 71–80, and >80 years, respectively. One‑year composite outcome and postoperative adverse occurrences were comparable among five age groups. Women of all ages achieved significant improvements in subjective and objective outcomes after surgeries. Conclusion: Senior women who are independent in everyday living and low in surgical risk could acquire equivalent surgical benefits compared with younger women.
Keywords: Elderly, Independence, Pelvic floor repair, Pelvic organ prolapse, Surgery
