[Vaginal closure using the purse string suture method in elderly women with total prolapse]

Area of Science:

• Gynecology
• Surgical Procedures

Context:

• Pelvic organ prolapse (POP) management in elderly and inoperable patients.
• Temporary relief of POP symptoms.

Purpose:

• To describe the Shirodkar suture string vaginal occlusion as an emergency procedure.
• To highlight its utility in managing severe or temporary cases of pelvic organ prolapse.

Summary:

• The Shirodkar type string suture is an emergency vaginal occlusion procedure.
• It provides temporary symptom relief for pelvic organ prolapse (procedentia) in elderly patients awaiting surgery.
• It offers a simple, repeatable solution under local anesthesia for inoperable patients experiencing discomfort.

Impact:

• Provides immediate symptomatic relief for pelvic organ prolapse.
• Offers a viable management option for frail, elderly, or inoperable patients.
• Facilitates patient decision-making regarding definitive surgical treatment.