A frequent gynecological condition called pelvic organ prolapse (POP) is characterized by the descent of pelvic organs like the uterus, bladder, or rectum as a result of inadequate pelvic floor support structures. Elderly and multiparous women are primarily affected (1).
Because of hormonal changes, weak pelvic floor muscles, and deterioration of connective tissue, the prevalence of pelvic organ prolapse rises with age, especially after menopause (2). Vaginal bulging, urine incontinence, difficulty defecating, pelvic pressure, and sexual dysfunction are common symptoms of POP in women (3). Both conservative approaches, including pelvic floor exercises and pessary use, and surgical procedures, like vaginal hysterectomy with pelvic floor repair, are available for managing POP. Age, prolapse severity, comorbidities, and patient desire all influence the therapy decision (4).

Although POP is more common in older women, little is known about the clinical results of several treatment approaches in this demographic. The purpose of this study was to assess the clinical results of pelvic organ prolapse in senior women who were enrolled in a tertiary care facility (4).

Study Design Observational study. Study Setting Esic medical college and hospital, Bihta. Study Duration 2 years. Sample Size 50 elderly women diagnosed with pelvic organ prolapse. Inclusion Criteria • Women aged ≥60 years • Clinically diagnosed pelvic organ prolapse • Patients willing to undergo treatment and follow-up Exclusion Criteria • Women with pelvic malignancy • Women with previous prolapse surgery • Incomplete clinical records Statistical Analysis • Data were analyzed using descriptive statistics. • Association between treatment type and outcome was analyzed using Chi-square test. • p < 0.05 was considered statistically significant

Table 1: Age Distribution

Most patients were in the 60–69 years’ age group.

Table 2: Stage of Pelvic Organ Prolapse

Stage III prolapse was the most common presentation.

Table 3: Treatment Modalities

Table 4: Clinical Outcome

Table 5: Treatment vs Outcome

p-value = 0.07

This indicates no statistically significant association, although improvement was higher in the surgical group.

Figure 1: age distribution of elderly women with pelvic organ prolapse

Figure 2: distribution of pelvic organ prolapse stages

Figure 3: treatment modalities used

Figure 4: clinical outcome by treatment type

Elderly women frequently suffer from pelvic organ prolapse, which has a major negative impact on their quality of life. The majority of the patients in this study were between the ages of 60 and 69, suggesting that POP typically manifests in the early stages of old age (5).
In this investigation, stage III prolapse was the most common stage. This discovery might be the outcome of older women's delayed health-seeking behavior, which led to their presentation at a later stage. POP was managed with a combination of conservative and surgical methods. Pelvic floor exercises and pessary use, which are frequently advised for older women with modest symptoms or those who are not candidates for surgery, 

A prevalent gynecological problem in older women, especially those in their seventh decade of life, is pelvic organ prolapse. The most common manifestation in this study was stage III prolapse. Compared to conservative management, surgical treatment showed superior clinical outcomes; but, because of the limited sample size, the difference was not statistically significant. For older women with pelvic organ prolapse, early diagnosis and customized treatment plans are crucial to improving clinical results and quality of life.

1. Rajabzadeh F, Mallah F. Satisfaction and Quality of Life of Elderly Women with Pelvic Organ Prolapse Undergone Colpocleisis. J Urol Surg. 2024;11(3):173–8.
2. Wang B, Chen Y, Zhu X, Wang T, Li M. Global burden and trends of pelvic organ prolapse associated with aging women : An observational trend study from to. Front inPublicHealt. 2022;10:1–10.
3. Barba M, Cola A, Vicari D, Costa C, Volont S, Frigerio M. How Old Is Too Old ? Outcomes of Prolapse Native-Tissue Repair through Uterosacral Suspension in Octogenarians. Life. 2024;14(433):1–11.
4. Sanses TVD, Schiltz NK, Couri BM, Mahajan ST, Richter HE, Warner DF, et al. Functional status in older women diagnosed with pelvic organ prolapse. Am J Obstet Gynecol [Internet]. 2016;214:613.e1-613.e7. Available from: http://dx.doi.org/10.1016/j.ajog.2015.11.038
5. Danforth HNTL. Management of pelvic organ prolapse in the elderly – is there a role for robotic-assisted sacrocolpopexy ? Robot Surg Res Rev. 2016;6(3):65–73.
6. Elham Gholamian, Fedyeh Haghollahi , Samaneh Tarokh, Maryam Hajihashemy MS. Clinical outcomes in patients with advanced pelvic prolapse who underwent LeFort surgery or pessary placement- A prospective cohort study. Casp J Intern Med. 2022;13(2):405–11.
7. Giannini A, Russo E, Cano A, Chedraui P, Goulis DG, Lambrinoudaki I, et al. Maturitas Current management of pelvic organ prolapse in aging women : EMAS clinical guide. Maturitas [Internet]. 2018;110(January):118–23. Available from: https://doi.org/10.1016/j.maturitas.2018.02.004

Elderly women frequently suffer from pelvic organ prolapse, which has a major negative impact on their quality of life. The majority of the patients in this study were between the ages of 60 and 69, suggesting that POP typically manifests in the early stages of old age (5).
In this investigation, stage III prolapse was the most common stage. This discovery might be the outcome of older women's delayed health-seeking behavior, which led to their presentation at a later stage. POP was managed with a combination of conservative and surgical methods. Pelvic floor exercises and pessary use, which are frequently advised for older women with modest symptoms or those who are not candidates for surgery, 

A prevalent gynecological problem in older women, especially those in their seventh decade of life, is pelvic organ prolapse. The most common manifestation in this study was stage III prolapse. Compared to conservative management, surgical treatment showed superior clinical outcomes; but, because of the limited sample size, the difference was not statistically significant. For older women with pelvic organ prolapse, early diagnosis and customized treatment plans are crucial to improving clinical results and quality of life.

Elderly women frequently suffer from pelvic organ prolapse, which has a major negative impact on their quality of life. The majority of the patients in this study were between the ages of 60 and 69, suggesting that POP typically manifests in the early stages of old age (5).
In this investigation, stage III prolapse was the most common stage. This discovery might be the outcome of older women's delayed health-seeking behavior, which led to their presentation at a later stage. POP was managed with a combination of conservative and surgical methods. Pelvic floor exercises and pessary use, which are frequently advised for older women with modest symptoms or those who are not candidates for surgery,