Modified Le Fort partial colpocleisis with Kelly urethral plication and posterior colpoperineoplasty in the medically compromised elderly: A comparison with vaginal hysterectomy, anterior colporrhaphy, and posterior colpoperineoplasty

Denehy, Thad R.; Choe, Jennifer Y; Gregori, Caterina A.; Breen, James

doi:10.1016/0002-9378(95)90412-3

Cited by 51 publications

(26 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many authors have advocated obliterative vaginal surgery for women who are elderly, medically compromised, and no longer sexually active because it is thought to be quick, safe, and have a lower recurrence risk than traditional reconstructive repairs [2,4,5,7,19]. The currently available evidence supporting colpocleisis as an appropriate option for elderly women with prolapse is limited almost exclusively to retrospective case series; however, it suggests that the risk of prolapse recurrence is exceedingly low, approaching 0% [5].…”

Section: Discussionmentioning

confidence: 99%

“…Obliterative surgery, such as total colpocleisis or the Le Fort partial colpocleisis, is usually reserved for women who are elderly, medically compromised, and no longer sexually active. The purported advantages of obliterative surgery in this population are decreased operative time, decreased perioperative morbidity, and an extremely low prolapse recurrence risk [2]. The obvious disadvantage is the elimination of the potential for vaginal intercourse.…”

Section: Introductionmentioning

confidence: 99%

“…Whereas colpocleisis and other obliterative operations have been advocated in the literature for elderly frail women with advanced pelvic organ prolapse, information on the short-and long-term outcomes, particularly with regard to quality of life, is lacking [2,4,5]. A recent systematic review of colpocleisis noted that, although colpocleisis appears to be nearly 100% effective for correcting pelvic organ prolapse, very little is known regarding improvement or deterioration of pelvic symptoms [5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery

et al. 2006

View full text Add to dashboard Cite

The objective of this study was to determine if obliterative and reconstructive vaginal surgery for advanced pelvic organ prolapse improve quality of life in elderly women. Women age 65 years or older with stage 3 or 4 pelvic organ prolapse who desired surgical correction were prospectively enrolled. The subjects underwent either obliterative or reconstructive vaginal surgery based on their personal preference and sexual expectations. The subjects received a pelvic organ prolapse quantitation examination and completed the pelvic floor distress inventory (PFDI), the pelvic floor impact questionnaire (PFIQ), the SF-36, and the Beck depression inventory preoperatively, 6 and 12 months after surgery. Seventy-nine subjects were enrolled, 70 of whom completed follow-up: 30 in the obliterative group and 40 in the reconstructive group. Both groups demonstrated significant improvements in the pelvic organ prolapse, urinary, and colorectal scales of the PFDI and PFIQ 6 and 12 months after surgery with no differences between the two treatment groups. In addition, there were significant and clinically important improvements noted in the bodily pain, vitality, social functioning, role-emotional, and mental health summary scales of the SF-36 in both groups after surgery, with no significant difference between groups. In appropriately selected elderly women, both obliterative and reconstructive vaginal surgery for advanced pelvic organ prolapse significantly improved health-related quality of life.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery

et al. 2006

View full text Add to dashboard Cite

show abstract

“…Denehy et al [4] compared Le Fort colpocleisis (21 patients) with vaginal hysterectomy, anterior colporrhaphy, and posterior colpoperineoplasty (42 patients). Patients operated by colpocleisis were older and the operation time was halved.…”

Section: Discussionmentioning

confidence: 99%

Colpectomy or Le Fort colpocleisis?a good option in selected elderly patients

Glavind

Kempf

2004

Int Urogynecol J

View full text Add to dashboard Cite

The aim of this study was to describe the results of and complications after colpectomy and colpocleisis in selected elderly women with no wish for future coitus. Forty-two patients were operated by either colpectomy or colpocleisis during which special care was taken not to involve the area beneath the urethra. Patients were evaluated before and 3 months after the operation. No severe complications of the operations were observed. No cases of recurrence of the vault prolapse and no cases of de novo incontinence were observed after 3 months. A telephone interview performed after a mean of 46 months showed satisfaction with the operation in 90% of cases. Colpectomy and colpocleisis are important operations in the armamentarium of the urogynecological surgeon. The operations can be used in selected cases.

show abstract

“…There have been just three deaths reported in series published since 1980; one was due to multisystem organ failure [33] and was likely related to the surgical experience although not directly related to a surgical site complication. The other deaths were due to biliary cirrhosis [50] and lung cancer [24], and not related to surgery. The apparent surgical mortality rate is thus approximately one in 400 cases.…”

Section: Perioperative Complicationsmentioning

confidence: 99%