Effect of Age on Surgical Outcomes and Rate of Complication in Women Undergoing Laparoscopic Sacrocolpopexy and Sacrohysteropexy

Abstract

<h3>Study Objective</h3> To compare perioperative and long-term outcomes of laparoscopic sacrocolpopexy/ sacrohysteropexy in different groups of age. <h3>Design</h3> This was a prospective study. <h3>Setting</h3> All surgeries were made by single surgeon, in a referral unit for pelvic reconstructive surgeries. <h3>Patients or Participants</h3> All the patients who underwent laparoscopic sacrocolpopexy/ sacrohysteropexy, between July 2005 and December 2019 were prospectively evaluated preoperatively and postoperatively (starting from 1 month after surgery, and then annually). <h3>Interventions</h3> Laparoscopic sacrocolpopexy/ sacrohysteropexy. <h3>Measurements and Main Results</h3> The study population was divided to three groups, according their age at time of surgery: group 1- younger than 65 years, group 2- between 65-75 years, and group 3- older than 75 years. We compared patients' demographics, surgical characteristics, perioperative complications, and immediate and long-term outcomes, between the groups. A total of 347 women were included: group 1: (n=192, 55.3%), mean age 53.4±8.2; group 2- (n=98, 28.2%), mean age 69.2±2.9; group 3 (n=57, 16.4%), mean age 79.3±3.5 (p<0.001). The older patients were less married (group 1- 82.3%, group 2- 72.5%, group 3- 54.4%; p<0.001), sexually active (group 1- 35.4%, group 2- 27.5%, group 3- 19.3%; p=0.05), and had lower rate of past obstetric trauma (group 1- 27.6%, group 2- 23.5%, group 3- 3.5%; p<0.001), however they had higher rates of previous hysterectomy (group 1- 11.4%, group 2- 17.3%, group 3- 31.5%; p=0.005), as compared to the younger patients. The rates of perioperative complications, as well as long term complications or recurrence were similar between the groups. <h3>Conclusion</h3> Laparoscopic sacrocolpopexy and/ or sacrohysteropexy is associated with low rates of perioperative and long- term complications. The rates of complications and/ or long-term results are not affected by patients' age.