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Abstract

Gynecology and elderly women

Because of the demographic development of industrialized societies, the number of elderly patients will rise. Elderly women live longer than men do and do not suffer from cardiovascular diseases as often as men. It is necessary for modern gynecology to focus on these increasing number of patients.Compared to younger women, elderly women demand emergency medical aid and go to routine gynecological screening less frequently. If they seek for help at the emergency room,leading acute symptoms are vaginal bleeding, acute abdominal pain, and vaginal or vulvar complaints. Leading underlying causes are acute urinary tract infections, uterine bleeding, pelvic or vaginal/vulvar tumors and genital prolapse. Most frequent chronic complaints are urinary incontinence and genital prolapse.The development of both disorders is enhanced by the postmenopausal lack of estrogen. In surgical treatment of the elderly women comorbidities and nutritional status are the main prognostic factors for operability.After operation fast track oral feeding,prophylactic antibiotic and antithrombotic treatment and rapid mobilisation of the patient should be considered. As a principle, an interdisciplinary approach to the treatment of elderly women is recommended including experts in geriatric medicine and gynecology.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2010; 6(1): 58-67

Keywords
Elderly patients,gynecology demographic development, comorbidities,geriatric medicine

Frank C.-K. Chen1, Eric Hilf2, Elisabeth Steinhagen-Thiessen2, Jalid Sehouli1
1 Klinik für Frauenheilkunde und Geburtshilfe, Charité - Universitätsmedizin
Berlin,Campus Virchow-Klinikum,Berlin
2Evangelisches Geriatriezentrum Berlin, Berlin

Reviewer: Ulrich Wedding, Jena
und Gülten Oskay-Özcelik, Berlin

Chen F. Gynäkologie ... Gynakol Geburtsmed Gynakol Endokrinol 2010;6(1):58-67 publiziert 31.03.10 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2010 ISSN 1614-8533