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Urological and gynaecological surgery in the elderly 

Urological and gynaecological surgery in the elderly
Urological and gynaecological surgery in the elderly

Chris Dodds

, Chandra M. Kumar

, and Frédérique Servin

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date: 19 April 2019

The most common urological and gynaecological procedures performed in very old patients are mainly endoscopic or perineal.

Urinary tract endoscopy and surgery should be performed on sterile urine.

Simple measures may prevent most of the transurethral resection of the prostate (TURP) syndrome cases.

Endoscopic urological surgery in patients on chronic anti-platelet treatment may lead to life threatening haemorrhage, but interruption of the anti-platelet drug(s) must be kept to a minimum.

Modern general anaesthetic techniques may challenge the dominant position of spinal anaesthesia.

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