Urological surgery in elderly and the perioperative management.

Abstract

Perioperative delirium and depression are characteristic of in elderly patients undergoing urological operation. The treatment for urological disease is stagnant, exchanged or inter- rupted by these complications. Furthermore, these complications may course to other more complications. Age, preoperative cognitive status, activities of daily living function, renal function and other factors were known for the risk factor of perioperative delirium. However, these complications should be managed immediately, prevention of these complications is most important. To prevent these complications, preoperative physical, mental and cognitive evaluation are done, measures for the complications will be contemplated. The control for sleep disturbance, pain and anxiety are important to prevent and manage for the periopera- tive delirium and depression.