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Correction of complete urogenital prolapse with infibulation
G L Picchio1, H Hallous, G P Franceschetti
1Department of Urology, University of Pavia, Italy.
Archivos Espanoles De Urologia
|March 12, 1998
Summary
Infibulation, with or without bladder neck suspension, shows promise for treating genital prolapse and urinary issues in elderly patients. Further research is encouraged due to the condition's frequency and social impact.
Area of Science:
- Urogynecology
- Geriatric Surgery
Background:
- Genital prolapse frequently co-occurs with urinary disturbances like incontinence and retention in elderly women.
- Elderly patients often have comorbidities precluding major surgery or prolonged anesthesia.
Observation:
- This study explores infibulation, alone or with bladder neck suspension, as a surgical option for genital prolapse in elderly patients.
- The procedure aims to correct associated urinary symptoms while minimizing surgical risks.
Findings:
- Four additional cases have successfully undergone the described treatment.
- Pre- and post-operative urodynamic and echographic tests assess changes in micturition and residual urine volume.
Implications:
- While preliminary, these findings encourage further investigation into infibulation for managing genital prolapse and urinary dysfunction in this vulnerable population.
- The technique offers a potentially less invasive approach for elderly patients with limited surgical options.