Abstract
Objectives
The purpose of this study was to determine the anatomical and functional outcomes, as well as patients’ satisfaction and morbidity associated with modified LeFort colpocleisis.
Study design
Between 7/2007 and 6/2011 58 patients underwent a modified LeFort colpocleisis. Thirty-eight were available for follow-up visit. Records were reviewed for patients’ characteristics, operative data and incidence of complications. The follow-up visit comprised a medical history and a gynecological examination. A visual-analog-scale to assess patients’ quality of life after surgery was used. The patients were asked: “Would you again choose to have this surgery performed?” and “Do you regret choosing to have a vaginal closure procedure?” Statistical analysis was performed using R version 2.12.1, R Foundation for Statistical Computing, Vienna, Austria.
Results
There were no treatment failures within a mean follow-up of 14 months (range 3–41 months). 89 % of patients reported an improved quality of life postoperatively. No complications occurred intraoperatively and none of the patients regretted the loss of sexual function. All patients stated that they would choose to have the colpocleisis procedure again. Postoperatively 8 urinary tract infections, 2 hematomas and 1 pyometra occurred. Two patients complained about stress urinary incontinence and another one about an overactive bladder.
Conclusion
The study highlights an additional safe and effective option for an individualized treatment of pelvic organ prolapse.
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References
FitzGerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H, Weber A (2006) Colpocleisis review. Int Urogynecol J Pelvic Floor Dysfunct 17(3):261–271
Reisenauer C, Wallwiener W (2011) Treatment of recurrent vaginal eversion after previous Le Fort colpocleisis. Int J Gynecol Obstet 114(2):161–162
Bump RC, Mattiasson A, Bø K et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17
Adair FL, DaSef L (1936) The LeFort colpocleisis. Am J Obstet Gynecol 32:218–226
Roth TM (2007) Pyometra and recurrent prolapse after LeFort colpocleisis. Int Urogynecol J 18(6):687–688
Hoskey KA, Shippey SH, Handa VL (2012) Surgical repair of recurrent prolapse after LeFort colpocleisis. Int Urogynecol J Pelvic Floor Dysfunct 23:371–373
FitzGerald MP, Kulkarni N, Fenner D (2000) Postoperative resolution of urinary retention in patients with advanced pelvic organ prolapse. Am J Obstet Gynecol 183:1361–1364
Rosenzweig BA, Pushkin S, Blumenfeld D, Bhatia N (1992) Prevalence of abnormal urodynamic test results in continent women with severe genitourinary prolapse. Obstet Gynecol 79:539–542
Conflict of interest
The authors have no conflict of interest. The study was not sponsored. Authors have had full control of all primary data and they agree to allow the Journal to review their data if requested.
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Reisenauer, C., Oberlechner, E., Schoenfisch, B. et al. Modified LeFort colpocleisis: clinical outcome and patient satisfaction. Arch Gynecol Obstet 288, 1349–1353 (2013). https://doi.org/10.1007/s00404-013-2930-9
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DOI: https://doi.org/10.1007/s00404-013-2930-9