[Colpocleisis without mid-urethral sling: A valid concept in the elderly with vault vaginal prolapse and stress urinary incontinence?].
OBJECTIVE
Estimate the urinary impact of vaginal occlusion without mid-urethral sling in the elderly with vault vaginal prolapse and stress urinary incontinence.


METHODS
Retrospective case series of 22 women who underwent a vaginal closure between May 2005 and April 2009. Postoperating evaluation of the impact on the urinary tract of this surgery and of the satisfaction of the patients to a phone investigation.


RESULTS
Seventeen patients with mean age 80 years answered the phone questionnaire. With a mean follow up of 23.9 months, the rate of satisfaction amounts to 88%. The rate of recurrence is 11%. Urge incontinence decreases from 36 to 24% and there is no stress urinary incontinence postoperatively.


CONCLUSIONS
Colpocleisis is a surgical technique which meets high rates of satisfaction and which seems effective in the treatment of urinary incontinence associated with vaginal vault prolapse in the elderly.
Cornille
A
A
Service de gynécologie obstétrique, CHU de Nîmes, groupe hospitalo-universitaire Caremeau, place du professeur-Robert-Debré, 30029 Nîmes cedex 09, France. arnaudcornille@hotmail.fr
Letouzey
V
V
Costa
P
P
Mares
P
P
de Tayrac
R
R
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery*