GENITAL PROLAPSE IN ELDERLY AND DIABETIC WOMEN

Abstract

Prolapse of the genital organs, often called genital prolapse, is a condition characterized by the descent of pelvic organs, such as the uterus, bladder or rectum, into the vaginal canal. This condition mainly affects women, with a higher prevalence observed in older individuals and those with certain comorbidities, such as diabetes mellitus. Genital prolapse can significantly impact the quality of life of those affected, leading to uncomfortable symptoms such as pelvic pressure, urinary incontinence and sexual dysfunction. Although research has shed light on the pathophysiology, risk factors, and treatment options for genital prolapse in general, there is a need to specifically explore its association with diabetes in older women. Objective: To comprehensively examine the existing body of evidence on the relationship between genital prolapse and diabetes in older women. Methodology: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search was carried out in the following electronic databases: PubMed, Scielo and Web of Science. The search strategy involved a combination of the following keywords: "genital prolapse", "pelvic organ prolapse", "pelvic organ prolapse", "elderly women", "diabetes" and "diabetes mellitus". Articles, studies and scientific books published in the last 10 years were considered for inclusion. Results: 16 articles were selected. The review identified a variety of studies that address the association between genital prolapse and diabetes in older women. Key findings included a higher prevalence of genital prolapse in older diabetic women compared with their non-diabetic peers. Furthermore, diabetes appeared to be a potential risk factor for the development and progression of genital prolapse. The review also highlighted the importance of early diagnosis and multidisciplinary management approaches tailored to the specific needs of this population. Various conservative and surgical treatment options were discussed, emphasizing the need for individualized care. Conclusion: The importance of recognizing and addressing this comorbidity is highlighted to improve the quality of life and general well-being of those affected. The findings presented here contribute valuable insights to healthcare professionals, researchers, and policymakers in creating targeted interventions and management strategies for this specific population. Future research in this area should focus on prospective studies, long-term outcomes, and effectiveness of personalized interventions to further enhance our understanding of this complex clinical scenario.