JOURNAL ARTICLE

Obliterative LeFort colpocleisis for pelvic organ prolapse in elderly women aged 70 years and over

Soo-Cheen Ng, Gin-Den Chen
Taiwanese Journal of Obstetrics & Gynecology 2016, 55 (1): 68-71
26927252

OBJECTIVE: Treatment of genital prolapse in elderly women is challenging. The aim of this study was to evaluate the long-term postoperative patient satisfaction and objective improvement in women aged 70 years and over with high stages of pelvic organ prolapse treated with obliterative LeFort colpocleisis.

MATERIALS AND METHODS: From January 2003 to December 2013, female patients aged 70 years and over who underwent colpocleisis surgery were included in this study. We reviewed the charts for preoperative and postoperative medical history, severity of prolapse, urodynamic studies, and early postoperative complications related to this procedure in these patients. Subjective outcomes were assessed by a nursing coordinator who interviewed patients by telephone in June 2014.

RESULTS: Colpocleisis was performed in 22 elderly patients and 59% patients were of advanced age (≥ 80 years). The mean postoperative follow-up duration was 48.1 months (range, 7-118) months. Six patients (27.3%) had died of medical problems at the time of the telephone interview. Fourteen patients (87.5%) reported a successful outcome after the operation and two patients (12.5%) reported improvement. For present satisfaction, 93.8% of patients reported that they were satisfied.

CONCLUSION: Colpocleisis should be considered as one of the surgical options for treating advanced pelvic organ prolapse in elderly patients who do not wish to preserve vaginal function for sexual intercourse.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
26927252
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"