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01-03-2014 | Editorial

Climbing a long hill: pelvic floor surgery and the need for geriatric urogynecology

Authors: Cornelia Betschart, Diaa E. E. Rizk

Published in: International Urogynecology Journal | Issue 3/2014

Excerpt

The topic of geriatric urogynecology is receiving much attention lately as a public health priority because of the global increase in female life expectancy and the significant risk of associated pelvic floor dysfunctions. Statistics from the USA project that in 2050, 25 % of the population will be >60 years and that those >85 will increase from a population of 1.9 % in 2010 to 4.3 % in 2050 [1]. The urogynecological community should thus expect to face a worldwide and progressively growing demand from patients seeking care for pelvic floor dysfunctions. One study predicted >50 % increased demand for urogynecological services over the next 40 years [2]. …

Department of Health and Human Services, Administration on Aging. Aging statistics. Available at: http://www.aoa.gov/aoaroot/aging_statistics/index.aspx. Accessed August 20, 2013

Wu JM, Hundley AF, Fulton RG, Myers ER (2009) Forecasting the prevalence of pelvic floor disorders in US women: 2010 to 2050. Obstet Gynecol 114:1278–1283PubMedCrossRef

DuBeau CE, Kuchel GA et al (2010) Incontinence in the frail elderly: Report from the 4th International consultation on Incontinence. Neurourol Urodynam 29:165–178CrossRef

Sung VW, Weitzen S, Sokol ER, Rardin CR, Myers DL (2006) Effect of patient age on increasing morbidity and mortality following urogynecologic surgery. Am J Obstet Gynecol 194:1411–1417PubMedCrossRef

Rizk DEE, Fahim MA (2008) Ageing of the female pelvic floor: Towards treatment “a la carte” of the “geripause”. Int Urogynecol J 19:455–458CrossRef

Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. II. Aging detrusor: normal versus impaired contractility. J Urol 150(5 Pt 2):1657–1667PubMed

Vandvik PO, Lincoff MA, Gore JM, Gutterman DD, Sonnenberg FA, Alonso-Coello P et al (2019) Prevention of Cardiovascular Disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice. Guidelines Chest 141(2_suppl):e637S–e668S

Lakatos BE, Capasso V, Mitchell MT, Kilroy SM, Lussier-Cushing M, Sumner L, Repper-Delisi J, Kelleher EP, Delisle LA, Cruz C, Stern TA (2009) Falls in the general hospital: association with delirium, advanced age, and specific surgical procedures. Psychosomatics 50(3):218–226PubMedCrossRef

Pariente A, Dartigues JF, Benichou J, Letenneur L, Moore N, Fourrier-Réglat A (2008) Benzodiazepines and injurious falls in community dwelling elders. Drugs Aging 25(1):61–70PubMedCrossRef

10.

Marcantonio ER, Goldman L, Mangione CM et al (1994) A clinical prediction rule for delirium after elective noncardiac surgery. JAMA 271:134–139PubMedCrossRef

Title: Climbing a long hill: pelvic floor surgery and the need for geriatric urogynecology
Authors: Cornelia Betschart
Diaa E. E. Rizk
Publication date: 01-03-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 3/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2302-9

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