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Cited by 30Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchSexual function and dysfunction studies

Urogenital consequences in ageing women

Doumouchtsis, Stergios K., Chrysanthopoulou, Eleftheria L.·2013·Best Practice & Research Clinical Obstetrics & Gynaecology
DOI 10.1016/j.bpobgyn.2013.03.007
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Abstract

Various anatomical, physiological, genetic, lifestyle and reproductive factors interact throughout a woman's life span and contribute to pelvic floor disorders. Ageing affects pelvic floor anatomy and function, which can result in a variety of disorders, such as pelvic organ prolapse, lower urinary tract symptoms, dysfunctional bowel and bladder evacuation, and sexual dysfunction. The exact mechanisms and pathophysiological processes by which ageing affects pelvic floor and lower urinary and gastrointestinal tract anatomy and function are not always clear. In most cases, it is difficult to ascertain the exact role of ageing per se as an aetiological, predisposing or contributing factor. Other conditions associated with ageing that may co-exist, such as changes in mental status, can result in different types of pelvic floor dysfunction (e.g. functional incontinence). Pelvic organ dysfunction may be associated with significant morbidity and affect quality of life. These groups of patients often pose difficult diagnostic and therapeutic dilemmas owing to complex medical conditions and concurrent morbidities. In this chapter, we summarise the current evidence on the management of pelvic floor disorders, with emphasis on elderly women and the associations between the ageing process and these disorders. Clinicians with an understanding of the affect of ageing on the pelvic floor and lower urinary and gastrointestinal tract anatomy and function, and the complex interplay of other comorbidities, will be able to investigate, diagnose and treat appropriately there women. A holistic approach may result in substantial improvements in their quality of life.

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Authors
Doumouchtsis, S. K., & Chrysanthopoulou, E. L.
Affiliations
St George's Hospital (GB)
ORCID
Doumouchtsis, Stergios K.
Venue
Best Practice & Research Clinical Obstetrics & Gynaecology
Publisher
Elsevier BV
Published
2013-10
Volume
27
Issue
5
Pages
699-714
ISSN
1521-6934 (ISSN-L)
DOI
10.1016/j.bpobgyn.2013.03.007
OpenAlex
W2017547181
Cited by
30
References
144
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 2 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 2 · 2014: 2
FWCI
0.48
Type
journal article
Language
en
Open access
closed
Locations
  • Best Practice & Research Clinical Obstetrics & Gynaecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords
older women, pelvic floor dysfunction, pelvic organ prolapse, lower urinary tract symptoms, sexual dysfunction, functional incontinence, comorbidities, quality of life
MeSH terms
Aged, Aging, Fecal Incontinence, Female, Humans, Quality of Life, Urinary Incontinence, Pelvic Floor, Pelvic Organ Prolapse, Pelvic Floor Disorders

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