Journal of SAFOMS

Register      Login

VOLUME 6 , ISSUE 1 ( January-June, 2018 ) > List of Articles

ORIGINAL ARTICLE

A Retrospective Analysis of Spectrum of Gynecological Morbidities and their Management in Geriatric Women: A Tertiary Care Center Study

Prashant Lavania, Shailza Vardhan

Keywords : Genital tract malignancy, Geriatric population, Gynecological morbidities, Uterovaginal prolapse

Citation Information : Lavania P, Vardhan S. A Retrospective Analysis of Spectrum of Gynecological Morbidities and their Management in Geriatric Women: A Tertiary Care Center Study. J South Asian Feder Menopause Soc 2018; 6 (1):30-33.

DOI: 10.5005/jp-journals-10032-1131

Published Online: 01-06-2017

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Objective: The study was done to determine the magnitude of gynecological morbidities in geriatric population and their management in a tertiary care center. Materials and methods: It is a retrospective observational study of female patients aged 60 years and above admitted in Department of Obstetrics and Gynecology, Sarojini Naidu Medical College, Agra, India, over a period of 3 years from January 2015 to December 2017. Results: In our study 484 patients were aged 60 years or above among total gynecological admission of 1,299 in 3 years duration. The most common gynecological disorder was genital tract malignancies (37.39%) followed by pelvic organ prolapse (28.93%). Of the total gynecological malignancies, cervical carcinoma was most common (83.98%). Urinary incontinence was seen in 8.06% patients; 124 patients presented with benign conditions like endometrial hyperplasia, endometrial polyp, fibroid, pyometra with endometritis, and benign adnexal masses. Total 136/140 patients with uterovaginal (UV) prolapse were managed surgically. Among 39 cases of stress urinary incontinence (SUI), 19 were managed conservatively and 20 were managed surgically [transobturator tape (TOT), tension-free vaginal-obturator tape (TVT-O)]. Conclusion: Genital malignancy and UV prolapse were the major gynecological problem in elderly women. As the size of geriatric population is increasing, approaches like geriatric friendly camps and geriatric clinics should be made so as to bring geriatric women in regular health care system for early detection and management of their hidden problems.


PDF Share
  1. Takkar N, Goel P, Dua D, Mohan H, Huria A, Sehgal A. Spectrum of gynaecological disorders in older Indian women: a hospital based study. Asian J Gerontol Geriatr 2010 Dec;5:69-73.
  2. New Delhi: Census of India. censusindia.gov.in. C2001. Available from http://www.censusindia.gov.in/Census_Data_2001/ India_at_glance/broad.aspx. Accessed April 5, 2011.
  3. Dey R, Saha MM, Rakshit A, Biswas SC, Mukhopadhyay A. The epidemiology of gynaecological disorders in geriatric population: a hospital based study. J Evol Med Dental Sci. 2013 Apr;2(14):2329-2334.
  4. Situation Analysis of the Elderly in India. Central Statistics Office, Ministry of Statistics & Programme Implementation. Government of India. c2011 - [cited 2011 June]. Available from http://mospi.nic.in/mospi_new/upload/elderly_in_india. pdf. Accessed April 5, 2011.
  5. Scott RB. Common problems in geriatric gynecology. Am J Nursing 1958;58:1275-1277.
  6. US National Institutes of Health. Cancer of the cervix uteri. 2005. Available from http://www.cancer.gov. Accessed March 20, 2013.
  7. Jamal A, Siegel R, Ward E, Murray T, Xu J, Smigal C, Thun MJ. Cancer statistics, 2006. CA Cancer J Clin 2006 Mar- Apr;56(2):106-130.
  8. Oslen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501-506.
  9. Gao Y, Ma JL, Gao F, Song LP. The evaluation of older patients with cervical cancer. Clin Interv Aging 2013;8:783-788.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.