PERIOPERATIVE CARE IN THE ELDERLY UROLOGIC PATIENT

This article summarizes the preoperative evaluation and postoperative care recommended for elderly patients undergoing urologic procedures. Most of the common issues faced during the perioperative period are di scussed, but many other topics require reference to other sources or c onsultation with specialists. A thorough preoperative evaluation is ne eded, and meticulous attention to postoperative care is mandatory. The most important common problem is assessment of cardiovascular risk in patients and a general approach is suggested by the authors. Surgical risk in elderly patients is increased, but most of this excess risk i s because of associated comorbid conditions. Effective pre- and postop erative assessment and care can minimize this risk and maximize the ch ances of a successful outcome.