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Gynecologic and Urologic Problems of Older Women

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Geriatric Medicine
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Abstract

It is well established that the population of the United States—and the world—is becoming proportionately older.1 One of the most rapidly growing segments of the population is women 75 years of age and older. In industrialized countries, there are currently 100 women to 75 men in the 60 to 69-year-old age group, but 100 women to only 50 men in the over 80 age group. The significance of this trend is that all physicians—be they internists, family practioners, geriatricians, or gynecologists—will need to become adept in evaluation, diagnosis, and management of the common gynecologic and urologic problems of older women.1

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References

  1. United Nations World Assembly on Aging Vienna. The Vienna International Plan of Action on Aging; 1983, paras 9 and 11, Cf. Swedish Ministry for Foreign Affairs: Forenta Nationernas aldrandekonferens i Wien 26 juli-6 augusti 1982. Stockholm: Norstedt Tryckeri; 1983.

    Google Scholar 

  2. Leiblum S, Bachman G, Kemmann E, et al. Vaginal atrophy in the postmenopausal woman: the importance of sexual activity and hormones. JAMA. 1983; 249: 2195–2198.

    Article  PubMed  CAS  Google Scholar 

  3. Semmens J, Wagner G. Estrogen deprivation and vaginal function in postmenopausal women. JAMA. 1982; 248: 445–448.

    Article  PubMed  CAS  Google Scholar 

  4. Strathy J, Coulam C, Spelsburg T. Comparison of estrogen receptors in human premenopausal and postmenopausal uteri: indication of biologically inactive receptor in postmenopausal uteri. Am J Obstet Gynecol. 1982; 142: 372–382.

    PubMed  CAS  Google Scholar 

  5. Tervila L. The weight of the ovaries after stress ending in death. Ann Chir Gynaecol. 1958; 47: 232–244.

    CAS  Google Scholar 

  6. Faulk R, Sickles E, Sollitto R, et al. Breast screens found useful in elderly women. Radiology. 1995; 194: 193–196.

    PubMed  CAS  Google Scholar 

  7. Barber H, Graber E. The PMPO syndrome. Obstet Gynecol. 1971; 38: 921.

    PubMed  CAS  Google Scholar 

  8. Miller R, Nash J, Weiser E, et al. The postmenopausal palpable ovary syndrome: A retrospective review with histopathologic correlates. J Reprod Med. 1991; 36: 568–571.

    PubMed  CAS  Google Scholar 

  9. Faber P, Heidenreich J. Treatment of stress incontinence with estrogen in postmenopausal women. Urol Int. 1977; 32: 221–223.

    Article  PubMed  CAS  Google Scholar 

  10. Elia G, Bergman A. Estrogen effects on the urethra: beneficial effects in women with genuine stress incontinence. Obstet Gynecol Surv. 1993; 48: 509–517.

    Article  PubMed  CAS  Google Scholar 

  11. Fantl J, Wyman J, Anderson R, et al. Postmenopausal urinary incontinence: comparison between non-estrogensupplemented and estrogen-supplemented women. Obstet Gynecol. 1988; 71: 823–828.

    PubMed  CAS  Google Scholar 

  12. Parsons C, Schmidt J. In vitro bacterial adhesions of vaginal cells of normal and cystitis-prone women. J Urol. 1980; 126: 184.

    Google Scholar 

  13. Raz R, Stamm W. A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections. New Engl J Med. 1993;329:753–756.

    Google Scholar 

  14. Bracco GL, Carli P, Sonni L, et al. Clinical and histologic effects of topical treatments of vulval lichen sclerosus: A critical evaluation. J Reprod Med. 1993; 38: 37–40.

    PubMed  CAS  Google Scholar 

  15. Cattaneo A, Carli P, DeMarco A, et al. Testosterone maintenance therapy: Effects on vulvar lichen sclerosus treated with clobetasol proprionate. J Reprod Med. 1996; 41: 99102.

    Google Scholar 

  16. Ridley C. Lichen sclerosus. Dermatol Clin. 1992; 10: 309–318.

    Article  PubMed  CAS  Google Scholar 

  17. Fu Y, Reagan J. Pathology of the uterine cervix, vagina, and vulva. In: JL Bennington, ed. Major Problems in Pathology, vol. 21. Philadelphia: WB Saunders; 1989.

    Google Scholar 

  18. McKay M. Vulvodynia: diagnostic patterns. Dermatol Clin. 1992; 10: 423–433.

    Article  PubMed  CAS  Google Scholar 

  19. Jones K, Lehr S. Vulvodynia: diagnostic techniques and treatment modalities. Nurse Pract. 1994;19:34–46. 20. Mogavero G, Sheth S, Hamper U. Endovaginal sonography of the nongravid uterus. Radio Graphics. 1993; 13: 969–981.

    Google Scholar 

  20. Karlsson B, Granberg S, Wikland M, et al. Endovaginal scanning of the endometrium compared to cytology and histology in women with postmenopausal bleeding. Gynecol Oncol. 1993; 50: 173–178.

    Article  PubMed  CAS  Google Scholar 

  21. DeLancey J. Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol. 1992; 166: 1717–1728.

    PubMed  CAS  Google Scholar 

  22. Shull B, Capen C, Riggs M, et al. Preoperative and postoperative analysis. of site-specific pelvic support defects in 81 women treated with sacrospinous ligament suspension and pelvic reconstruction. Am J Obstet Gyncol. 1992; 166: 1764–1771.

    CAS  Google Scholar 

  23. DeLancey J. Pelvic floor dysfunction: causes and prevention. Contemp Obstet Gynecol. 1993; 38: 68–79.

    Google Scholar 

  24. Yang A, Mostwin J, Rosenshein N, et al. Pelvic floor descent in women: dynamic evaluation with fast MR imaging and cinematic display. Radiology. 1991; 179: 25–33.

    PubMed  CAS  Google Scholar 

  25. Brubaker L, Retzkey D, Smith C, etal. Pelvic floor evaluation with dynamic fluoroscopy. Obstet Gynecol. 1993; 82: 863–868.

    PubMed  CAS  Google Scholar 

  26. Sulak P, Kuehl T, Shull B. Vaginal pessaries and their use in pelvic relaxation. J Reprod Med. 1993; 38: 919–924.

    PubMed  CAS  Google Scholar 

  27. Brubaker L. The pessary: an important gynecological option. Menopausal Med. 1994; 2: 1–12.

    Google Scholar 

  28. Kaminski P, Sorosky J, Pees R, etal. Correction of massive vaginal prolapse in an older population: a four-year experience at a rural tertiary care center. Obstet Gynecol Surv. 1993; 48: 468–470.

    Article  Google Scholar 

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© 1997 Springer Science+Business Media New York

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Timmons, M.C. (1997). Gynecologic and Urologic Problems of Older Women. In: Cassel, C.K., et al. Geriatric Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2705-0_36

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  • DOI: https://doi.org/10.1007/978-1-4757-2705-0_36

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2707-4

  • Online ISBN: 978-1-4757-2705-0

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