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Updated: Jul 2, 2026
03:30
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Pyometra complicating a LeFort colpocleisis
Marc R Toglia1, Matthew J Fagan
1Division of Urogynecology and Reconstructive Pelvic Surgery, Mainline Health, Riddle Memorial Hospital, Media, PA, USA. togliam@verizon.net
International Urogynecology Journal and Pelvic Floor Dysfunction
|September 6, 2008
Summary
An elderly woman with uterine prolapse experienced complications after a pessary and colpocleisis, developing pyometra. Surgical intervention via hysterectomy resolved the infection, highlighting potential risks of pelvic organ prolapse procedures.
Area of Science:
- Gynecology
- Urogynecology
- Surgical Case Reports
Background:
- Pelvic organ prolapse (POP) affects many women, with uterine procedentia being a common type.
- Treatment options for uterine prolapse include conservative management (pessaries) and surgical interventions like colpocleisis.
- Complications can arise from both conservative and surgical management of POP.
Observation:
- An 81-year-old woman with uterine procedentia and incomplete bladder emptying initially benefited from a pessary.
- She later developed chronic vaginal bleeding and discharge, necessitating a LeFort colpocleisis.
- Post-operatively, she presented with persistent vaginal discharge and loss of appetite, indicating a potential complication.
Findings:
- The patient was diagnosed with pyometra, a serious infection of the uterus.
- A supracervical hysterectomy was performed to treat the pyometra.
- The hysterectomy was completed without immediate complications.
Implications:
- This case underscores the importance of vigilant monitoring for infectious complications after POP surgery.
- It highlights that even seemingly resolved conditions can lead to severe sequelae.
- Prompt diagnosis and surgical management are crucial for favorable outcomes in pyometra cases.
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