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

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 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.