title: Total colpocleisis for severe pelvic organ prolapse.
abstract: OBJECTIVE
  To describe the complications and efficacy of total colpoclesis for severe pelvic organ prolapse.
  
  
  METHODS
  In this descriptive study, we analyzed the complications and efficacy of total colpoclesis in 41 consecutive women with pelvic organ prolapse at Temple University Hospital between November 1994 and June 2001.
  
  
  RESULTS
  The mean followup period was 28.7 months (range, 5-65). Vaginal hysterectomy was performed in 12 patients. All but 10 patients underwent concomitant modified paravaginal cystourethropexy. Modified perineorraphy was standard in every case. There was no recurrence of prolapse and a very low complication rate. The cure rate for urinary incontinence was 53.1% in 32 patients with preoperative urinary incontinence.
  
  
  CONCLUSIONS
  Total colpocleisis combined with site-specific reconstructive surgery is an effective and safe treatment of severe pelvic organ prolapse in high-risk, elderly women.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University School of Medicine, 3401 North Broad Street, 7OPD, Philadelphia, PA 19140, USA. ozgur.harmanli@temple.edu
authors.forename: Ozgur H
authors.initials: OH
authors.lastname: Harmanli
authors.forename: Vani
authors.initials: V
authors.lastname: Dandolu
authors.forename: Ashwin J
authors.initials: AJ
authors.lastname: Chatwani
authors.forename: M Terry
authors.initials: MT
authors.lastname: Grody
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002584:Cervix Uteri / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy; D009092:Mucous Membrane / Q000601:surgery; D017060:Patient Satisfaction; D011183:Postoperative Complications; D014549:Urinary Incontinence / Q000150:complications / Q000601:surgery; D014563:Urodynamics; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*; D014621:Vagina / Q000601:surgery