American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 534.e1-534.e5, November 2009

Patient-reported outcomes after combined surgery for pelvic floor disorders in older compared to younger women

Presented at the 35th Annual Meeting of the Society of Gynecologic Surgeons, New Orleans, LA, March 30-April 1, 2009.

  • Vivian W. Sung, MD, MPH

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence, RI
    • ,
  • Katharine Joo, BA

      Affiliations

    • Warren Alpert Medical School at Brown University, Providence, RI
    • ,
  • Felisha Marques, BA

      Affiliations

    • Division of Research, Women and Infants Hospital of Rhode Island, Providence, RI
    • ,
  • Deborah L. Myers, MD

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence, RI

Received 29 December 2008; received in revised form 26 May 2009; accepted 7 July 2009. published online 03 September 2009.

Objective

The purpose of this study was to compare patient-reported outcomes after combined surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) between older and younger women.

Study Design

This was a retrospective cohort study including 122 younger (<65 years) and 70 older women (≥65 years old) who underwent combined POP and SUI surgery. SUI and POP treatment failure were based on validated measures. Logistic regression was used to calculate adjusted odds ratios and 95% confidence interval [CI].

Results

Mean follow-up was 10 ± 1.2 months. Women in both age groups reported significant improvement in symptoms and life impact postoperatively. In multivariable analyses, older women had an increased odds of SUI treatment failure (adjusted odds ratio [AOR], 1.10; 95% CI, 1.05–2.5), but not POP treatment failure (AOR, 0.90; 95% CI, 0.29–2.8).

Conclusion

Women 65 years and older undergoing combined surgery for POP and SUI are at risk for recurrent SUI, but still experience significant improvements in symptoms and life impact.

Key words: age, patient-reported outcomes, pelvic floor disorders, pelvic organ prolapsed, surgical treatment, urinary incontinence

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 Cite this article as: Sung VW, Joo K, Marques F, et al. Patient-reported outcomes after combined surgery for pelvic floor disorders in older compared to younger women. Am J Obstet Gynecol 2009;201:534.e1-5.

 Reprints not available from the authors.

 Dr Sung is supported by Grant 5-K12-HD050108-02, WIH/Brown Women's Reproductive Health Research Career Development Award, National Institute of Child Health and Human Development.

PII: S0002-9378(09)00788-1

doi:10.1016/j.ajog.2009.07.024

American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 534.e1-534.e5, November 2009

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