The Epidemiology of Gynaecological Disorders in Geriatric Population: A Hospital Based Study.

Abstract

Geriatric gynaecology deals with gynaecological pathology encountered in postmenopausal women at and above 60 years of age with an intention of early diagnosis and management . A major challenge for the world in the 21st century is the ageing of its population. As the life expectancy of postmenopausal women has risen dramatically, hence this study was taken up to analyze incidence, diagnosis, treatment of gynaecological disorders in females aged 60 years and above. METHODS: It is an retrospective observational study of female patients aged 60 years and above, admitted in the department of Obstetrics and Gynaecology, IPGMER and SSKM Hospital, Kolkata over a period of one year. Data was collected from admission and OT register. Age distribution, spectrum of gynaecological disorder, type of surgeries performed, were noted and analyzed. RESULTS: In our study ninety patients were aged 60 years or more amongst total admission of 811 comprising age related incidence of 11.09%. The mean average age of admission was 64.19 years. Uterovaginal prolapse(51.1%) was the commonest clinical problem followed by malignancy (26.7%). Among the gynaecological malignancies (24 patients) ovarian carcinoma was the most common (50%) followed by endometrial carcinoma(33.3%).Total 36 patients of uterovaginal prolapse were managed surgically. All patients of malignancy were treated surgically. Among Nine cases of stress urinary incontinence, seven managed by TVT/TOT. CONCLUSION: Uterovaginal prolapse and malignancy were the major gynaecological problems in older women. In future geriatric gynaecology will play an important role in India, as the size of elderly population is increasing over time.

Gynecological disorders in geriatric women regarding their frequency, diagnosis and management in the state of Himachal Pradesh, India

“…This is consistent with the study done by Dey et al in which 45.56% of the patients admitted in ward above 60 years were in the age group of 60-65 years. 4 The average age of menopause was 45 years which is also consistent with Pan Indian study done by Ahuja M who reported average age of menopause in northern India to be 45+3years. 9 The natural menopausal age of a woman serves as a biomarker for subsequent disease prediction and mortality.…”

“…The incidence of pelvic organ prolapse is lower in current study than that seen in the study done by Dey et al who reported an incidence of 51.1%. 4 Similarly in a study done by Swift et al in older patients receiving routine gynecologic care, the incidence of pelvic organ prolapse reported was much higher as compared to our study. 20 In this study 50% to 60% were found to have stage II POP; stage III prolapse was present in 9% of the women aged 60 to 69 and 21% of the women aged 70 and over.…”

“…3 The Indian society which was pyramidal till 20 th century, has become rectangular today and morbidity related to geriatric gynaecological problems is on the rise. 4 In India the number of people aged more than 60 years has grown from 5.4% in 1951 to 8.4% in 2011 and is projected to become 12.5% by 2025. As per the census of 2011, whereas for total Indian population, sex ratio is in favor of male population in ratio 940:1000, however for elderlies at sixty years and above population it is in favour of elderly women by 1022:1000.…”

“…7 In present study the incidence of genital malignancy was much higher than that reported by other Indian studies. 2,4,8 Among the gynaecological malignancies (121 patients), ovarian carcinoma was the most common (47.93%) followed by cervical carcinoma (31.40%). This is consistent with the trend increasingly reported from india in which ovarian and corpus uteri malignancies are on the rise in the past two decades.…”

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

“…2 The Indian society which was pyramidal till the 20th century has become rectangular today, and morbidity related to geriatric gynecology problems is on the rise. 3 In India, the number of people aged more than 60 years has grown from 5.4% in 1951 to 8.4% in 2011 and is projected to become 12.4% by 2026. 4 In geriatric population, women experience vasomotor, urogenital, psychosomatic, psychological symptoms, and sexual dysfunction, and these urogenital changes make them prone to gynecological morbidities.…”