Le Fort’s partial colpocleisis: a review of one surgeon’s experience

Abstract

Objective: To evaluate the success of Le Forte's colpocleisis. Design: Retrospective review. Setting: Southmead Hospital, Bristol, UK. Methods: All women who had undergone a colpocleisis procedure from 1995-2002 at Southmead Hospital, Bristol were retrospectively reviewed. Main outcome measures: Satisfaction with operation, recurrence of prolapse, development of urinary incontinence. Results: Twenty-seven women underwent Le Forte's colpocleisis during the 7 years. The median length of time of the operation was 35 min; in two of the cohort the operation was performed under local anaesthesia. The procedure was successful in 89% of the women. There was 100% satisfaction in this remaining group. There were no new cases of urinary incontinence. Conclusion: Le Forte's colpocleisis is a useful procedure in the management of genital tract prolapse in elderly or medically unfit women. Patient selection is of crucial importance, but this caveat applies to all therapeutic interventions.

Cost-Utility of Routine Endometrial Evaluation Before Le Fort Colpocleisis

“…27 The Le Fort colpocleisis is an effective surgical treatment for advanced prolapse, particularly in elderly women and those with significant medical comorbidities. 1,2 Endometrial carcinoma is the most common gynecologic malignancy. 1,2 Endometrial carcinoma is the most common gynecologic malignancy.…”

“…1,2 One concern that remains, however, is the inability to easily perform a subsequent endometrial (EM) sampling in women developing postmenopausal bleeding. 1,2 One concern that remains, however, is the inability to easily perform a subsequent endometrial (EM) sampling in women developing postmenopausal bleeding.…”

Vaginal partitioning with vertical septum—an alternative to colpocleisis

“…To relieve symptoms of prolapse with no recurrence [10][11][12] 2. To optimize bladder and bowel functions (no appearance of fresh urinary symptoms, enterocele, or rectal prolapse) 3.…”

Changing trends in gynaecological surgery—a challenge for training

“…Hysteroscopy is increasingly performed under local anaesthetic in the outpatient setting. It is even possible to perform relatively major surgery in some cases under local anaesthetic [3]. Diagnostic and therapeutic colposcopy is nearly always performed in the outpatient setting.…”