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Colpocleisis: A Survey of Current Practice Patterns.

Keisha Jones1, Gary Wang, Robert Romano

  • 1From the Department of Obstetrics and Gynecology, Baystate Medical Center, Tufts University School of Medicine, Springfield, Massachusetts.

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Colpocleisis practice varies in the U.S. LeFort colpocleisis is common, while hysterectomy is rare. Most surgeons evaluate the endometrium and perform anti-incontinence procedures.

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Area of Science:

  • Urogynecology
  • Surgical Practice Patterns

Background:

  • No standard treatment guidelines exist for colpocleisis.
  • Clinical practice for colpocleisis exhibits significant variation.

Purpose of the Study:

  • To evaluate current practice patterns of colpocleisis in the United States.
  • To understand surgeon demographics and techniques related to colpocleisis.

Main Methods:

  • Anonymous 27-item web-based survey distributed to American Urogynecologic Society members.
  • Survey included questions on physician demographics and colpocleisis practices.

Main Results:

  • 322 out of 1422 physicians responded (23% response rate).
  • LeFort colpocleisis is frequently performed; routine hysterectomy is uncommon (18%).
  • Preoperative endometrial evaluation (68%) and concomitant anti-incontinence procedures (nearly all) are standard.

Conclusions:

  • Significant variation exists in U.S. colpocleisis practices.
  • LeFort colpocleisis is the predominant technique.
  • Routine hysterectomy is not standard; endometrial evaluation and anti-incontinence procedures are common.