Our findings showed a high prevalence of C. trachomatis infection in the population studied, but no association with human papilloma virus infection. Because the number of patients assessed was small, it is difficult to generalize from our findings. We suggest there is a need to expand screening programs for C. trachomatis, mainly in symptomatic patients and in those patients with cervical changes.

SUMMARY OBJECTIVE: This study aims to verify the association between risk factors for the onset of SUI and transobturator suburethral sling surgical treatment outcomes. PATIENTS AND METHODS: A retrospective study was conducted with 57 patients operated by the Pelvic Floor Surgery Service. Demographic data were compiled from the sample, the body mass index (BMI) was calculated, and the patients were divided according to the response to the surgical treatment. RESULTS: A total of 77.2% of the sample was cured or improved after surgical treatment. Out of the total sample, 75.4% of the women were postmenopausal, and 73.7% denied current or past smoking. The median age was 61 years, the median number of births was 4.0, the median BMI was 28.6 kg/m2, and 50.9% of the sample was classified as pre-obese. BMI, menopausal status, age, smoking, and sexual activity were not factors associated with the surgical outcome. However, parity equal to or greater than 5 was associated with worse postoperative results (p = 0.004). CONCLUSIONS: among risk factors associated with the emergence of SUI, only parity greater than 4 showed a negative impact on transobturator sling surgery outcomes.

The prolapse of pelvic organs (POP) is a prevalent disease in the elderly women with a significant impact on quality of life. Symptomatic POP requires treatment, but these women most often have other medical comorbidities that limit the therapeutic possibilities.In addition, significant rates of recurrence and complications following reconstructive surgery demand simpler and faster surgeries. For this reason obliterative surgeries such as Le Fort colpocleisis returned to be appointed and new studies have demonstrated its correct indication and success rates. This article describes results of a cases series of patients undergoing colpocleisis surgery for treating of advanced pelvic organ prolapse (POP) and compare them with some literature data. Citation: Marchesini AC, Antunes JA, Gusmão LC, et al. Colpocleisis surgery in the treatment of pelvic organ prolapse in elderly women. Citation: Marchesini AC, Antunes JA, Gusmão LC, et al. Colpocleisis surgery in the treatment of pelvic organ prolapse in elderly women.

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