Mid-term efficacy of surgical treatments for post-hysterectomy vaginal vault prolapse: a retrospective study

Background Le Fort colpocleisis is an obliterative surgery for the treatment of pelvic organ prolapse (POP). In this study, we aimed to investigate the efficacy and safety of Le Fort colpocleisis in the treatment of patients with stage III-IV POP. Methods The study was designed as a retrospective analysis of a single-center case series. Patients with stage III-IV POP treated with Le Fort colpocleisis were included. Perioperative indicators, subjective and objective outcomes and complications were assessed. The POP-Quantification (POP-Q) system was used for objective outcome evaluation. Pelvic Floor Distress Questionnaire (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) were used for subjective outcome evaluation. Results A total of 54 patients with complete pre- and postoperative data completed follow-up and were included in our study. The mean ± standard deviation of operative time, intraoperative blood loss, recovery activity time, postoperative hospitalization time and total hospitalization time were 146.85 ± 37.01 min, 92.04 ± 68.31 ml, 2.81 ± 0.85 days, 6.5 ± 2.11 days and 13.52 ± 4.78 days, respectively. Within the median follow-up period of 38.5 months, the objective cure rate of Le Fort colpocleisis reached 98.15% (53/54), and the subjective cure rate reached 92.59% (50/54). No serious complications were reported during the perioperative period and follow-up period. Conclusion Le Fort colpocleisis is an effective and safe procedure for the treatment of severe POP. Because of its lower operative risk, better subjective and objective outcomes, lower rates of prolapse recurrence and perioperative complications, Le Fort colpocleisis should be considered as the recommended procedure for elderly patients with severe POP (stage III-IV).

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Influencing factors of recurrence after pelvic organ prolapse surgery and construction of a nomogram risk prediction model

Zhang,

Du,

Guo

et al. 2024

Rev. Assoc. Med. Bras.

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Mid-term efficacy of surgical treatments for post-hysterectomy vaginal vault prolapse: a retrospective study

Abstract: Background: The surgical treatment of post-hysterectomy vaginal vault prolapse (PHVP) has been reported in several clinical studies, but mostly are short-term studies. This study aims to explore the midterm efficacy of surgical treatments for PHVP.

Cited by 4 publications

References 28 publications

Quality-of-life improvements in patients after various surgical treatments for pelvic organ prolapse

Quality-of-life improvements in patients after various surgical treatments for pelvic organ prolapse

Efficacy and safety of Le Fort colpocleisis in the treatment of stage III-IV pelvic organ prolapse

Influencing factors of recurrence after pelvic organ prolapse surgery and construction of a nomogram risk prediction model

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