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Is pelvic organ reconstructive surgery advisable for an 80 year old with Alzheimer's disease?

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Posted on Wed, 1 Aug 2018
Question: I'm trying to decide whether to have surgery for vaginal prolapse which includes hemmorhoids along with the prolapse. i'm 80 years old and I've never had surgery, so I'm reluctant to have surgery at my age. I've also been diagnosed with Alzheimer Disease and I'm being treated with with a generic drug for Aricept. do you think I should have surgery or use some other methods such as a Pessary or other device that can be inserted and removed?
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Answered by Dr. Grzegorz Stanko (43 minutes later)
Brief Answer:
It all depends on your general condition.

Detailed Answer:
Hello!

Thank you for the query.

It all depends on how is your general condition. If you are still an active person, with good heart condition, typical to your age mental condition, and prolapse is the only thing that impedes in normal activity, surgery should be done. Especially if the prolapse is advanced and you are unable to function because of that.

However if you have any other health issues or are bed ridden, Pessary seems the best and safest choice.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5769 Questions

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Is pelvic organ reconstructive surgery advisable for an 80 year old with Alzheimer's disease?

Brief Answer: It all depends on your general condition. Detailed Answer: Hello! Thank you for the query. It all depends on how is your general condition. If you are still an active person, with good heart condition, typical to your age mental condition, and prolapse is the only thing that impedes in normal activity, surgery should be done. Especially if the prolapse is advanced and you are unable to function because of that. However if you have any other health issues or are bed ridden, Pessary seems the best and safest choice. Hope this helps. Regards.