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[Colpohysterectomy. A contribution to gynecologic geriatric surgery]
H K Weitzel1, V Jaluvka, F Opri
1Universitätsklinikum Benjamin Franklin, Frauenklinik, FU Berlin.
Geburtshilfe Und Frauenheilkunde
|February 1, 1995
Summary
Hysterectomy with vaginectomy is the preferred surgical treatment for total genital prolapse in women no longer desiring cohabitation, offering the lowest recurrence potential.
Area of Science:
- Gynecology
- Surgical Procedures
Context:
- Total genital prolapse affects women, often older, requiring surgical intervention.
- Previous conservative treatments like pessaries may have been used.
- The study reviewed 70 interventions performed between 1983 and 1992.
Purpose:
- To evaluate the efficacy and outcomes of surgical interventions for total genital prolapse.
- To identify the optimal surgical approach with minimal recurrence.
Summary:
- 70 patients underwent procedures for total genital prolapse, primarily vaginal hysterectomy with vaginectomy (51 cases) or vaginectomy alone (15 cases).
- The majority of patients were over 70 years old, and procedures were generally swift (<75 minutes).
- Low rates of serious complications and no reported relapses suggest high efficacy.
Impact:
- Hysterectomy combined with vaginectomy is recommended as the primary surgical option for total genital prolapse in select patients.
- This approach, when performed by experienced surgeons, demonstrates a low potential for prolapse recurrence.