[Colpocleisis: guidelines for clinical practice].
OBJECTIVE
To provide clinical practice guidelines (CPGs) based on the best evidence available (level of evidence (LE)), concerning colpocleisis as a surgical treatment of pelvic organ prolapse.


METHODS
This article concern a systematically review of the literature concerning colpocleisis (obliterative surgery).


RESULTS
At short term follow-up, colpocleisis is associated with an anatomical success rate of 98 % (LE3) and a subjective success rate of 93% (LE3). A decrease in genital, urinary and anorectal symptoms and an enhancement of quality of life are observed in most women following colpocleisis (LE4). At mid-term (1 to 3 years) follow-up, patients' satisfaction ("satisfied" or "very satisfied" ranges from 85 to 100% (LE3)). At long-term follow-up, regret rate (women who regret having had the surgery) is 5% (LE4). In women over 80 years old, colpocleisis is associated with a decrease in per-and post-operative complication rates when compare to other surgical techniques used for pelvic organ prolapse surgery (LE2).


CONCLUSIONS
Colpocleisis is a valid surgical option for elderly patients with pelvic organ prolapse surgery, and who are definitely permanently sexually inactive (Grade C). © 2016 Published by Elsevier Masson SAS.
Service de gynécologie obstétrique et médecine de la reproduction, AP-HP, hôpital Antoine-Béclère, F-92140 Clamart, France. Electronic address: xavier.deffieux@aphp.fr.
X
X
Deffieux
Service d'urologie, CHU Bordeaux, Bordeaux, France.
T
T
Thubert
Polyclinique Côte-Basque-Sud, 7, rue Léonce-Goyetche, 64500 Saint-Jean-de-Luz, France.
L
L
Donon
Service d'urologie, hôpital Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
J-F
JF
Hermieu
Service d'urologie, CHU Nantes, place Alexis-Ricordeau, 44093 Nantes Cedex 1, France.
L
L
Le Normand
Service de gynécologie obstétrique et médecine de la reproduction, AP-HP, hôpital Antoine-Béclère, F-92140 Clamart, France.
C
C
Trichot
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods / Q000592:standards*; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D017410:Practice Guidelines as Topic; D014621:Vagina / Q000601:surgery*
Colpocleisis; Colpocléisis; Genital prolapse; Guidelines; Prolapsus génital; Recommandations; Surgical treatment; Traitement chirurgical