Research Article

Challenges of Longevity: Safety of Vaginal and Laparoscopic Urogynecological Procedures in Septuagenarians and Older Patients

Table 4

Detailed presentation of the postoperative complications.

Grade of complicationAge < 70Age ≥ 70

Early complications, classified according to CD

I(i) Higher need for analgesics: 14(i) Higher need for analgesics: 3
(ii) Prolonged urinary catheterization: 3(ii) Prolonged urinary catheterization: 4
(iii) Requiring iv. fluids: 2(iii) Requiring iv. fluids: 1
(iv) Requiring vaginal tamponade: 1(iv) Requiring vaginal tamponade: 2
(v) Prolonged hospital stay: 1(v) Prolonged hospital stay: 2
(vi) Requiring observation in ICU: 3(vi) Transient paresthesia: 1
(vii) Requiring drugs for temporary symptomatic treatment: 3(vii) Requiring drugs for temporary symptomatic treatment: 3

II(i) Requiring antibiotics: 21(i) Requiring antibiotics: 21
(ii) Requiring antihypertensives: 6(ii) Requiring antihypertensives: 21
(iii) Requiring other drugs for temporary symptomatic treatment: 10(iii) Requiring other drugs for temporary symptomatic treatment: 8

IIIaPerformed under local anesthesiaPerformed under local anesthesia
(i) Loosening a tight TVT sling: 6(i) Loosening a tight TVT sling: 3
(ii) Revision of a vaginal hematoma: 1(ii) Revision of a vaginal hematoma: 1
(iii) Suture of a scar dehiscence: 1

IIIbPerformed under general anesthesiaPerformed under general anesthesia
(i) Revision of a colporrhaphy scar: 4(i) Revision of a colporrhaphy scar: 1
(ii) Loosening a colposuspension suture: 1(ii) Revision of a vaginal suture: 1
(iii) Loosening a sacropexy mesh: 1
(iv) Revision of a rectal suture: 1

Intermediate complications, classified according to CD

I(i) Higher need for analgesics: 1(i) Observation/minor scar dehiscence: 1
(ii) Observation/minor scar dehiscence: 1
(iii) Observation/minor urinary retention: 1

II(i) Requiring antibiotics: 8(i) Requiring antibiotics: 9
(ii) Requiring drugs for temporary symptomatic treatment: 4(ii) Requiring drugs for temporary symptomatic treatment: 3

IIIaProcedures performed under local anesthesia
(i) Draining a labial boil: 1
(ii) Loosening a tight TVT sling: 3

IIIbPerformed under general anesthesiaProcedures performed under general anesthesia
(i) Revision of a hematoma: 1(i) Revision of a hematoma: 1
(ii) Laparoscopic ureterolysis: 1
(iii) Loosening a colposuspension suture: 1