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Colpocleisis: a review.

Mary P FitzGerald1, Holly E Richter, Sohail Siddique

  • 1Loyola University Medical Center, 2160 South First Avenue, Bld 103, Room 1004, Maywood, IL 60153, USA, mfitzg8@lumc.edu

International Urogynecology Journal and Pelvic Floor Dysfunction
|June 29, 2005
PubMed
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Colpocleisis surgery is effective for advanced pelvic organ prolapse (POP) in women not seeking future sexual function. However, data on reoperation rates and functional outcomes remain limited, necessitating further research.

Area of Science:

  • Gynecology
  • Urogynecology
  • Surgical Procedures

Background:

  • Pelvic organ prolapse (POP) significantly impacts women's quality of life.
  • Colpocleisis is a surgical option for advanced POP, particularly in elderly patients or those with high surgical risk.
  • Existing literature provides limited data on long-term outcomes and specific complications.

Purpose of the Study:

  • To review and synthesize existing data on colpocleisis for POP.
  • To identify gaps in the current research regarding colpocleisis outcomes.

Main Methods:

  • Comprehensive literature search of Medline (Ovid) and PubMed from 1966 to January 2004.
  • Inclusion of articles with English-language abstracts reporting outcome data for colpocleisis.
  • Examination of reference lists to identify additional relevant studies.

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Main Results:

  • Colpocleisis demonstrates high success rates (nearly 100%) in recent case series for POP treatment.
  • Reoperation rates for stress incontinence or recurrent POP after colpocleisis are not well-documented.
  • Concomitant hysterectomy increases blood loss and hospital stay without clear benefit.
  • Systematic assessment of pelvic symptoms and the role of urodynamic testing require further investigation.

Conclusions:

  • Colpocleisis is an effective surgical treatment for advanced POP in patients who have completed childbearing and do not desire future coital function.
  • Complications associated with colpocleisis are common in the elderly patient population.
  • Prospective studies are essential to evaluate functional outcomes, patient satisfaction, and long-term efficacy.