A modification of Labhardt's high perineoplasty for treatment of pelvic organ prolapse in the very old.
A new simple colpocleisis technique is introduced for the treatment of pelvic organ prolapse in the very old acoital patient with extensive co-morbidity and enhanced intra-operative risk. The method is described and can be performed under local anesthesia. Main outcome measure was patient's satisfaction. Thirty patients were evaluated by means of a questionnaire at least 6 months after the operation. Generally, most patients were very satisfied and none of the patients regretted the operation. This modification of Labhardt's high perineoplasty is an elegant solution for pelvic organ prolapse in elderly acoital women regardless of the type of prolapse.
van Huisseling
J C M
JC
Department of Obstetrics and Gynecology, Groene Hart Ziekenhuis, Gouda, The Netherlands. hans.van.huisseling@ghz.nl
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003127:Colposcopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011446:Prospective Studies; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*