ABSTRACT
Acute gynaecology in older women is often complicated by co-existent chronic medical conditions. Early involvement of the anaesthetist is recommended if surgical treatment is planned. Malignant disease is also commoner in the older age group so one must maintain a high index of suspicion for underlying malignancies. Although older women may suffer from many of the same acute gynaecological conditions as younger women, the following conditions are much commoner in the older population:
• Pyometra. • Acute retention of urine. • Incarcerated pessary. • Irreducible prolapse. • Significant post-menopausal bleeding.
