Le Fort Partial Colpocleisis: An Early and Feasible Option in Pelvic Organ Prolapse.


Journal

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
ISSN: 1681-7168
Titre abrégé: J Coll Physicians Surg Pak
Pays: Pakistan
ID NLM: 9606447

Informations de publication

Date de publication:
Feb 2023
Historique:
received: 09 09 2021
accepted: 06 12 2021
entrez: 16 2 2023
pubmed: 17 2 2023
medline: 22 2 2023
Statut: ppublish

Résumé

To evaluate the safety and effectiveness of Le Fort Partial Colpocleisis (LFPC) in the surgical treatment of pelvic organ prolapse (POP) and to determine the incidence of pop recurrence in postoperative follow-up. Cross-sectional study. Ordu University Medical Faculty Training and Research Hospital, Ordu, Turkey, from June 2013 to November 2020. Sixty-four women (82.8% had uterine prolapsed) who had been operated as LFPC operations were included in the study. Patient's characteristics, medical comorbidities, postoperative outcomes, and operation complications were analysed. POP recurrence was evaluated during the postoperative follow-up period reaching 80 months. Eight patients (12.5%) had anti-incontinence surgery. Concomitant vaginal hysterectomy was performed in six patients (9.4%) and concomitant anti-incontinence surgery was performed in eight patients (12.5%). There were no serious intraoperative complications such as hematoma formation, and bladder / bowel injury. Postoperative complications were seen in a quarter of the patients (16/64) and most of them resolved spontaneously. Three of sixty-four patients (4.7%) were complicated with de novo urinary incontinence and all cases were healed without the need for treatment. In the current study, none of the patients reported POP recurrence on average over three years of follow-up. There was a low frequency of intraoperative and postoperative complications in LFPC surgery. In addition, no POP recurrence was observed in any patient during long-term follow-up. Therefore, the LFPC procedure was described as a good surgical option in the selected elderly population with POP. Colpocleisis, Le fort partial colpocleisis, Pelvic organ prolapse.

Identifiants

pubmed: 36797633
pii: 040579197
doi: 10.29271/jcpsp.2023.02.212
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

212-216

Auteurs

Deha Denizhan Keskin (DD)

Department of Obstetrics and Gynaecology, Faculty of Medicine, Ordu University, Ordu, Turkey.

Seda Keskin (S)

Department of Obstetrics and Gynaecology, Faculty of Medicine, Ordu University, Ordu, Turkey.

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Classifications MeSH