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Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People
12:59

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Le Fort's procedure--an option for the aged.

Nilanjana Chaudhury1, Mainak Sen

  • 1Department of Obstetrics and Gynaecology, Calcutta National Medical College, Kolkata 700014.

Journal of the Indian Medical Association
|October 21, 2011
PubMed
Summary

Partial colpocleisis effectively treats pelvic organ prolapse (POP) in elderly, medically fragile women not desiring sexual function. This minimally invasive procedure offers a permanent cure with rapid recovery and minimal risk.

Area of Science:

  • Urology
  • Gynecology
  • Geriatric Medicine

Background:

  • Global demographic shifts are increasing pelvic organ prolapse (POP) prevalence.
  • This necessitates evaluating effective treatment options for specific patient groups.

Purpose of the Study:

  • To assess the efficacy of partial colpocleisis (Le Fort's operation) in selected elderly, medically fragile patients.
  • The study focuses on patients not desiring sexual function and unfit for general anesthesia or prolonged lithotomy.

Main Methods:

  • Partial colpocleisis was performed under local anesthesia on 10 carefully selected patients.
  • The procedure included levator plication and high perineorrhaphy, with vaginal closure leaving drainage tracts.
  • Preoperative screening included ultrasound (TVS) and cervical cytology.

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Main Results:

  • 100% of patients experienced symptomatic relief from pelvic organ prolapse.
  • The procedure had a short operative time (15 minutes) and hospital stay (24 hours).
  • Minimal operative bleeding and no recurrence of prolapse or stress urinary incontinence (SUI) were observed.

Conclusions:

  • Partial colpocleisis is a safe and effective treatment for POP in a highly selected group of elderly, fragile patients.
  • The procedure offers a simple technique, permanent cure, symptomatic relief, and minimal surgical risk.
  • It can be performed as a cost-effective day care procedure.