Patients had 1 or more of the following anterior and apical prolapse repair procedures: USLS (51%), distal McCall culde-plasty (26%), proximal McCall culdeplasty (29%), anterior colporrhaphy (82%), and colpocleisis
The surgery methods included 43 cases of native tissue repair, 170 of tension-free vaginal mesh (TVM) procedure, 63 of colpocleisis
, 10 of sacrospinous ligament fixation, and 14 of sacral colpopexy.
is done for patients who are not sexually active (answer D is incorrect).
Obliterative procedures, including total or partial colectomy and colpocleisis
, are appropriate for very carefully selected patients.
Various surgical techniques for prolapse surgery using laparotomy, laparoscopy, and vaginal surgery, including colporrhaphy (with or without mesh placement), sacrospinous ligament fixation, abdominal sacrocolpopexy (ASC), high sacrouterine ligament fixation, and colpocleisis
have been used.5
Vaginectomy is performed by total removal of vaginal mucosa (colpocleisis
), except the part of anterior vaginal wall near the urethra, which is used for urethral lengthening.
Finally, in a recent case report, an 82-year-old woman experienced vaginal evisceration during initial fitting, causing displacement of the pessary into the abdomen, with resultant emergency colpocleisis
(Rubin, Jones, & Harmanli, 2010).
As mentioned by Weber et al, colpocleisis
may be an appropriate choice for older patients who are not concerned with vaginal function (2).
It must be kept in mind that certain prolapse procedures, such as sacrospinous ligament fixation and colpocleisis
, have a particularly high risk of postoperative occult SUI.
NEW ORLEANS -- Colpocleisis
successfully resolves pelvic organ prolapse, and patient satisfaction rates are extremely high 1 year after surgery, according to a cohort study of 153 patients.
These range from the type of questions that students are frequently "pimped" on during rounds (What is the differential diagnosis for polyhydramnios?), to the unusual (What is colpocleisis
?), to the seemingly obvious (Can the pregnant patient be assessed and treated just like any other trauma patient?).