Traitement chirurgical du prolapsus du quatrième âge. À propos d'une série continue de 43 cas

Objectives: To evaluate surgical treatment for genital prolapse in patients over the age of 75. Patients and methods: This is a continuous retrospective series of 43 patients operated for genital prolapse between March 2001 and October 2006. Surgical outcomes in terms of anatomical correction as well as urological and proctological results were analyzed. Morbidity and mortality studies were carried out. A satisfaction and quality of life assessment was carried out among 19 patients (44%) by an independent researcher at a distance from the intervention. Results: Morbidity attributable to the surgery was minimal, with no cases of mortality. Mean hospital stay was five days. Anatomical correction was good without troubling urological or proctological consequences. Two surgical options were compared: surgery with vaginal occlusion in 23 patients (53.5%) and vaginal conserving surgery in 20 patients (46.5%). Surgical outcomes and morbidity were equivalent in the two groups. Seventy-nine percent of patients surveyed at a distance from the interventions estimated that the procedure had improved their quality of life. Discussion and conclusion: Surgical treatment for genital prolapse in the very elderly population is a reasonable therapeutic option. Postoperative evaluation demonstrates good anatomical as well as functional results in the majority of cases.