Long-term follow-up after colpocleisis: regret, bowel, and bladder function.
OBJECTIVE
Colpocleisis is not a popular option amongst surgeons, possibly due to concern about long-term regret. This study assessed a cohort of women who underwent colpocleisis 2-5 years previously to determine the regret rate, the effect on quality of life (QOL) and bladder and bowel function.


METHODS
This was a longitudinal study of patients who underwent colpocleisis at least 2 years previously. Participants were asked to complete the Prolapse QOL (P-QOL), International Consultation on Incontinence-Urinary Incontinence (ICIQ-UI Short Form) and Colorectal Anal Distress Inventory questionnaires (CRADI). Two additional questions were asked: (1) Do you regret having vaginal closure surgery for prolapse? (never, sometimes, often, all the time), and (2) Would you recommend this surgery to a relative or friend who is not sexually active? (yes, no.)


RESULTS
Thirty-four women were identified. Six had died by the time of follow-up, and five declined to answer the questionnaires because of ill health. Twenty-three women responded (67 %). Mean age was 78.68 years. One woman regretted having had the surgery, as the colpocleisis had failed. Twenty-one women (91.3 %) would recommend this surgery; one would not (4.3 %), and another was not sure (4.5 %). Low P-QOL [8 (0-37) ± 9.41), ICIQ-UI (7 (0-17) ± 5.44) and CRADI (10; 0-28 ± 8.13] scores suggest a positive impact on QOL, bladder and bowel function.


CONCLUSIONS
In this cohort, colpocleisis produced a good outcome with low regret rate (4.3 %), good QOL and minimal effect on bladder and bowel function at 2-5 years.
Derriford Hospital, Plymouth, UK, monikavij72@yahoo.co.in.
M
M
Vij
L
L
Bombieri
A
A
Dua
R
R
Freeman
D000368:Aged; D000369:Aged, 80 and over; D004644:Emotions; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000523:psychology; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology; D008137:Longitudinal Studies; D056887:Pelvic Organ Prolapse / Q000523:psychology* / Q000601:surgery*; D011788:Quality of Life; D011795:Surveys and Questionnaires; D001745:Urinary Bladder Diseases / Q000209:etiology; D014621:Vagina / Q000601:surgery*