Total colpocleisis for severe pelvic organ prolapse.
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.
Harmanli
Ozgur H
OH
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
Dandolu
Vani
V
Chatwani
Ashwin J
AJ
Grody
M Terry
MT
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