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Correction of Massive Vaginal Prolapse in an Older Population: A Four‐Year Experience at a Rural Tertiary Care Center
Author(s) -
Kaminski Paul F.,
Sorosky Joel I.,
Pees Richard C.,
Podczaski Edward S.
Publication year - 1993
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1993.tb05946.x
Subject(s) - medicine , asymptomatic , urogynecology , reconstructive surgery , retrospective cohort study , uterine prolapse , pelvic floor , vagina , tertiary care , referral , population , general surgery , surgery , family medicine , urinary incontinence , environmental health
Objective: To ascertain the success of complex reconstructive vaginal surgery in older women. Design: Retrospective review of hospital and outpatient records. Setting: Rural tertiary care referral center, Pennsylvania State University Hospital, Hershey, Pennsylvania Patients: Twenty‐four patients referred for massive eversion of the vagina and/or complete procidentia. Measurements: Symptoms and anatomic correction of patients' complaints. Results: After surgery, 83 percent were asymptomatic without pelvic relaxation, 4 percent were asymptomatic with pelvic relaxation, 4 percent were symptomatic without pelvic relaxation, and 9 percent were symptomatic with relaxation. Conclusions: Older women can undergo major vaginal reconstructive surgery with relief of symptoms and restoration of vaginal depth and axis.