Evaluation and Management of Pelvic Organ Prolapse in Elderly Women

被引:20
作者
Pizarro-Berdichevsky, Javier [1 ,2 ,3 ]
Clifton, Marisa M. [1 ]
Goldman, Howard B. [1 ]
机构
[1] Cleveland Clin, Dept Urol, Ctr Female Pelv Med & Reconstruct Surg, Cleveland, OH 44195 USA
[2] Dr Sotero del Rio Hosp, Urogynecol Unit, Santiago 8207257, Chile
[3] Pontificia Univ Catolica Chile, Div Obstet & Ginecol, Santiago 8331150, Chile
关键词
Pelvic organ; Prolapse; Elderly women; Vaginal bulge; QUALITY-OF-LIFE; PARTIAL COLPOCLEISIS; SURGICAL-MANAGEMENT; LEFORT COLPOCLEISIS; CONTINENCE SOCIETY; NATURAL-HISTORY; PESSARY USE; SYMPTOMS; SURGERY; SEVERITY;
D O I
10.1016/j.cger.2015.06.008
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Pelvic organ prolapse is a common disease in elderly patients. The most important symptom is vaginal bulge (bulge sensation or the sensation of something coming down through the vaginal introitus). This symptom is not different than in the general population. Diagnosis can be confirmed using just vaginal examinations to identify the presence of protrusion beyond the hymen, and is not different than in the general population. Different treatment options are available, including observation, nonsurgical, and surgical techniques. Pessaries and colpocleisis are the treatment options used more often in elderly patients than in the general population.
引用
收藏
页码:507 / +
页数:16
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