title: [Obliterative vaginal surgery for genital prolapse: a retrospective cases series].
abstract: OBJECTIVE
  Treatments of pelvic organ prolapse are pelvic floor rehabilitation, surgery by abdominal or vaginal route, with or without prosthesis, and pessaries. Since last decade, increasing elderly patients seen for pelvic organ prolapse require to redefine the place of the obliterative vaginal surgery, among the existent surgical procedures. Our objectives were to describe the morbidity associated with colpocleisis, to determine the anatomical results of colpocleisis, and patient's satisfaction.
  
  
  METHODS
  Retrospective case series of 27 patients who underwent a vaginal closure (Lefort) between 2004 and 2010.
  
  
  RESULTS
  Twenty-seven patients underwent an obliterative vaginal surgery for genital prolapse. The mean age was 79 years (range 74.5-82.5). The mean surgical time was 70 minutes (range: 60-87.5). We did not notice any per-surgical complication. During follow-up (median: 3 years, extremes: 1-10 years), the global satisfaction rate was 94%. Objective cure rate, defined as the absence of prolapse to the hymen, was 96% (26/27). Only one (3.7%) case of pelvic organ prolapse recurrence occurred and needed surgery.
  
  
  CONCLUSIONS
  The current study showed that Lefort colpocleisis technique was associated with a good patients' satisfaction and functional results in a population aged over 75.
authors.affiliation: Université Paris-Sud, 46, rue Henri-Huchard, 94276 Le Kremlin Bicêtre, France. thibault.thubert@gmail.com
authors.forename: T
authors.initials: T
authors.lastname: Thubert
authors.forename: A
authors.initials: A
authors.lastname: Daché
authors.forename: T
authors.initials: T
authors.lastname: Leguilchet
authors.forename: A
authors.initials: A
authors.lastname: Benchikh
authors.forename: V
authors.initials: V
authors.lastname: Ravery
authors.forename: J-F
authors.initials: JF
authors.lastname: Hermieu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina / Q000601:surgery*