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Published on: October 25, 2024
Obliterative Repair for Pelvic Organ Prolapse: Retrospective Cohort Comparing Three Techniques
Carolina Mendonça1, Njila Amaral2, Rita Lermann2
1Hospital Beatriz Ângelo, Loures, Portugal. carolinamrodrigues94@gmail.com.
International Urogynecology Journal
|July 27, 2026
Summary
Obliterative surgeries for advanced pelvic organ prolapse (POP) show high success rates. All three techniques evaluated were safe and effective, with similar cure rates and low complications, differing mainly in hospitalization length.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
Background:
- Obliterative surgery is a treatment for advanced pelvic organ prolapse (POP) in women not desiring future vaginal intercourse.
- Comparative data on different obliterative techniques are limited.
Purpose of the Study:
- To evaluate and compare the outcomes of three obliterative surgical procedures for advanced pelvic organ prolapse (POP).
Main Methods:
- Retrospective cohort study of 144 women undergoing colpocleisis (vault), colpocleisis with vaginal hysterectomy, or Le Fort colpocleisis.
- Primary outcomes: objective and subjective cure rates.
- Secondary outcomes: hospitalization, recurrence, complications, and urinary incontinence.
Main Results:
- High objective (85-92%) and subjective (91-94%) cure rates across all techniques (p > 0.05).
- Colpocleisis with hysterectomy resulted in longer hospitalization (p = 0.0016).
- Recurrence and complication rates were low and similar across groups (p > 0.05).
Conclusions:
- All three obliterative techniques are safe, simple, and durable options for advanced POP.
- Excellent anatomical and symptomatic success with minimal morbidity was observed.
- The choice of technique may influence hospitalization duration but not overall efficacy.
