{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:17:18Z","timestamp":1777515438075,"version":"3.51.4"},"reference-count":37,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: The growing population of women aged \u2265 80 years poses a new challenge for urogynecology. Advanced age, comorbidities, and polypharmacy raise concerns regarding the safety of procedures in the management of pelvic floor disorders (PFDs) such as pelvic organ prolapse (POP), stress urinary incontinence (SUI), and overactive bladder (OAB). Individualized, frailty-based assessment is essential in this group. The aim of the study was to evaluate the safety profile of urogynecological surgical procedures among women aged \u2265 80 years at a single tertiary center. Methods: In a retrospective observational single-center study, we analyzed the medical documentation of 774 hospitalizations of women aged \u2265 80 years admitted between 2014 and 2023. The analysis included indications, comorbidities, treatment types, anesthesia, and complications. Comorbidity and surgical risk were evaluated using the Charlson Comorbidity Index (CCI) and Clavien\u2013Dindo classification. Results: A total of 720 admissions with complete medical records were analyzed, of which 65% were for urogynecological conditions. In this group, the mean age was 83.0 years and mean BMI was 27.2 kg\/m2. Most patients (92.9%) had comorbidities, mainly hypertension (84.2%) and diabetes (21.1%). POP was the leading indication (52%), followed by SUI (35%) and OAB (27%). Surgical management was performed in 95% of POP cases, predominantly via vaginal native tissue repair (80%), especially LeFort colpocleisis (20%). The transobturator sling (TOT) was the most frequent SUI surgery. Intraoperative complications occurred in 1.5% of cases and postoperative ones were mainly minor (Clavien\u2013Dindo I\u2013II). No procedure-related deaths were recorded. Conclusions: In this cohort, surgical treatment of urogynecological problems in women \u226580 years was associated with a low rate of major complications, suggesting that it can be safely offered to elderly patients. Careful preoperative assessment based on frailty and comorbidity rather than chronological age remains essential.<\/jats:p>","DOI":"10.3390\/jcm15020530","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T08:09:06Z","timestamp":1767946146000},"page":"530","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Geripausal Women\u2014A New Challenge for Urogynecology in Upcoming Years"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8422-5594","authenticated-orcid":false,"given":"Aleksandra","family":"Ko\u0142ody\u0144ska","sequence":"first","affiliation":[{"name":"2nd Department of Gynecology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0774-8287","authenticated-orcid":false,"given":"Aleksandra","family":"Kami\u0144ska","sequence":"additional","affiliation":[{"name":"2nd Department of Gynecology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandra","family":"Stru\u017cyk","sequence":"additional","affiliation":[{"name":"2nd Department of Gynecology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6529-8341","authenticated-orcid":false,"given":"Ewa","family":"Rechberger-Kr\u00f3likowska","sequence":"additional","affiliation":[{"name":"2nd Department of Gynecology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Ufniarz","sequence":"additional","affiliation":[{"name":"2nd Department of Gynecology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4138-332X","authenticated-orcid":false,"given":"Tomasz","family":"Rechberger","sequence":"additional","affiliation":[{"name":"2nd Department of Gynecology, Medical University of Lublin, 20-059 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"ref_1","unstructured":"United Nations (2024). World Population Prospects 2024: Summary of Results, United Nations Department of Economic and Social Affairs (Population Division)."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1097\/AOG.0b013e3181c2ce96","article-title":"Forecasting the Prevalence of Pelvic Floor Disorders in U.S. Women: 2010 to 2050","volume":"114","author":"Wu","year":"2009","journal-title":"Obstet. Gynecol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1002\/nau.20842","article-title":"Incontinence in the Frail Elderly: Report from the 4th International Consultation on Incontinence","volume":"29","author":"Dubeau","year":"2010","journal-title":"Neurourol. Urodyn. Off. J. Int. Cont. Soc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1016\/j.ajog.2006.01.050","article-title":"Effect of Patient Age on Increasing Morbidity and Mortality Following Urogynecologic Surgery","volume":"194","author":"Sung","year":"2006","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1007\/s00404-012-2486-0","article-title":"Ovarian Cancer in Elderly Patients: A Difference in Treatment Based on Age?","volume":"286","author":"Giuliani","year":"2012","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.ygyno.2017.07.126","article-title":"Functional Not Chronologic Age: Frailty Index Predicts Outcomes in Advanced Ovarian Cancer","volume":"147","author":"Kumar","year":"2017","journal-title":"Gynecol. Oncol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/0895-4356(94)90129-5","article-title":"Validation of a Combined Comorbidity Index","volume":"47","author":"Charlson","year":"1994","journal-title":"J. Clin. Epidemiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1159\/000521288","article-title":"Charlson Comorbidity Index: A Critical Review of Clinimetric Properties","volume":"91","author":"Charlson","year":"2022","journal-title":"Psychother. Psychosom."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/SLA.0b013e3181b13ca2","article-title":"The Clavien-Dindo Classification of Surgical Complications","volume":"250","author":"Clavien","year":"2009","journal-title":"Ann. Surg."},{"key":"ref_10","first-page":"105","article-title":"Urinary Incontinence and Urinary Tract Infections in Octogenarian Women","volume":"77","author":"Bjornsdottir","year":"1998","journal-title":"J. Urol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"345","DOI":"10.3109\/00365599209181224","article-title":"Voiding Frequency and Urine Volumes","volume":"26","author":"Asplund","year":"1992","journal-title":"Scand. J. Urol. Nephrol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.euf.2025.05.010","article-title":"Laser Therapy for Female Stress Urinary Incontinence","volume":"11","author":"Parsons","year":"2025","journal-title":"Eur. Urol. Focus."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/00016349309156515","article-title":"Urinary Incontinence and Related Urogenital Symptoms in Elderly Women","volume":"72","author":"Molander","year":"1993","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1136\/bmj.296.6632.1300","article-title":"Reported Prevalence of Urinary Incontinence in Women in General Practice","volume":"296","author":"Jolleys","year":"1988","journal-title":"Br. Med. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1016\/S0002-9378(11)91691-3","article-title":"Cigarette Smoking and Urinary Incontinence in Women","volume":"167","author":"Bump","year":"1992","journal-title":"AM J. Obs. Gynecol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/j.1532-5415.1989.tb05502.x","article-title":"Methods Used to Manage Urinary Incontinence by Older Adults in the Community","volume":"37","author":"Herzog","year":"1989","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1111\/j.1532-5415.1994.tb04954.x","article-title":"Treatment Seeking for Urinary Incontinence in Older Adults","volume":"42","author":"Burgio","year":"1994","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1097\/SPV.0000000000000103","article-title":"Elder American Indian Women\u2019s Knowledge of Pelvic Floor Disorders and Barriers to Seeking Care","volume":"21","author":"Dunivan","year":"2015","journal-title":"Female Pelvic Med. Reconstr. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1001\/jamaneurol.2016.0580","article-title":"Association between Anticholinergic Medication Use and Cognition, Brain Metabolism and Brain Atrophy in Cognitively Normal Older Adults","volume":"73","author":"Risacher","year":"2016","journal-title":"JAMA Neurol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.maturitas.2020.09.005","article-title":"Management of Urinary Incontinence in Postmenopausal Women: An EMAS Clinical Guide","volume":"143","author":"Russo","year":"2021","journal-title":"Maturitas"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1002\/nau.20862","article-title":"Midurethral Sling Procedures for Stress Urinary Incontinence in Women over 80 Years","volume":"29","author":"Stav","year":"2010","journal-title":"Neurourol. Urodyn."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.ejogrb.2012.10.025","article-title":"Transobturator Vaginal Tape for the Treatment of Stress Urinary Incontinence in Elderly Women without Concomitant Pelvic Organ Prolapse: Is It Effective and Safe?","volume":"166","author":"Serati","year":"2013","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.cger.2015.06.006","article-title":"Outcomes of Surgery for Stress Urinary Incontinence in the Older Woman","volume":"31","author":"Ellington","year":"2015","journal-title":"Clin. Geriatr. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.euf.2025.03.007","article-title":"Results of Stress Incontinence Surgery in Octogenarian Women","volume":"11","author":"Tarcan","year":"2025","journal-title":"Eur. Urol. Focus"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1097\/AOG.0000000000003682","article-title":"Perioperative Safety of Surgery for Pelvic Organ Prolapse in Elderly and Frail Patients","volume":"135","author":"Chapman","year":"2020","journal-title":"Obstet. Gynecol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1097\/JU.0000000000001769","article-title":"The Impact of Frailty on Outcomes of Sling Surgery with and without Prolapse Repair","volume":"206","author":"Medendorp","year":"2021","journal-title":"J. Urol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1007\/s00192-016-2995-7","article-title":"Does Age Affect the Outcome of Suburethral Tape Surgery? The Importance of National Registries in Answering Bigger Questions","volume":"27","author":"Devani","year":"2016","journal-title":"Int. Urogynecol. J."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Barba, M., Cola, A., De Vicari, D., Costa, C., Volont\u00e8, S., and Frigerio, M. (2024). How Old Is Too Old? Outcomes of Prolapse Native-Tissue Repair through Uterosacral Suspension in Octogenarians. Life, 14.","DOI":"10.3390\/life14040433"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1097\/AOG.0b013e31825715a9","article-title":"Gynecologic Surgery in the Geriatric Patient","volume":"119","author":"Erekson","year":"2012","journal-title":"Obs. Gynecol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1016\/j.ajog.2004.11.026","article-title":"Incidence of Perioperative Complications of Urogynecologic Surgery in Elderly Women","volume":"192","author":"Stepp","year":"2005","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1016\/j.juro.2016.12.001","article-title":"Frailty and the Role of Obliterative versus Reconstructive Surgery for Pelvic Organ Prolapse: A National Study","volume":"197","author":"Suskind","year":"2017","journal-title":"J. Urol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1007\/s13224-017-0997-0","article-title":"Geriatric Pelvic Organ Prolapse Surgery: Going the Extra Mile","volume":"67","author":"Krishnan","year":"2017","journal-title":"J. Obstet. Gynecol. India"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.eururo.2017.03.048","article-title":"Consensus Statement of the European Urology Association and the European Urogynaecological Association on the Use of Implanted Materials for Treating Pelvic Organ Prolapse and Stress Urinary Incontinence","volume":"72","author":"Chapple","year":"2017","journal-title":"Eur. Urol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.ejogrb.2020.10.007","article-title":"Four-Arm Polypropylene Mesh for Vaginal Vault Prolapse-Surgical Technique and Outcomes","volume":"255","author":"Skorupska","year":"2020","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"2860","DOI":"10.1002\/nau.23803","article-title":"Impact of Age on Mid-to Long-Term Outcomes of Transvaginal Native Tissue Repair for Apical Vaginal Prolapse","volume":"37","author":"Kissane","year":"2018","journal-title":"Neurourol. Urodyn."},{"key":"ref_36","first-page":"93","article-title":"Enhanced Recovery after Surgery: Perspective in Elder Women","volume":"12","author":"Gupta","year":"2021","journal-title":"J. Midlife Health"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ejogrb.2018.03.040","article-title":"Intra-, Peri- and Postoperative Complications in Pelvic Organ Prolapse Surgery in Geriatric Women","volume":"224","author":"Christmann","year":"2018","journal-title":"Eur. J. Obstet. Gynecol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/2\/530\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T08:22:22Z","timestamp":1767946942000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/2\/530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":37,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["jcm15020530"],"URL":"https:\/\/doi.org\/10.3390\/jcm15020530","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]}}}