English

Abstract

OBJECTIVES: 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