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Use of the Labhardt procedure to repair pelvic organ prolapse
1Department of Obstetrics and Gynecology, Mount Sinai Hospital, Chicago, IL, USA.
Purpose Of Investigation:
We share our 3-year follow-up results of using the Labhardt procedure as an alternative to Le Fort's operation for vaginal prolapse.
Methods:
Forty-two consecutive women referred to our clinic from 1994 to 1997 with vaginal prolapse underwent the Labhardt procedure.
Results:
At the end of 3-year follow-up, one patient had had total re-prolapse two years after the initial procedure; she underwent Labhardt surgery again and was free of symptoms at her last follow-up. Two patients had had partial prolapses, one year and six months, respectively, after their initial surgery. Two patients experienced postoperative urinary retention, for one and three months, respectively, which resolved with intermittent catheterization. The mean estimated blood loss for the entire procedure was 85 ml, and the mean operating time was 51 minutes. Most patients were discharged home within 36 hours.
Conclusion:
The Labhardt technique is simple, safe, and short, and, with proper patient selection, is an excellent alternative to other vaginal obliterative procedures.
