Colpocleisis deemed safe for advanced pelvic organ prolapse

Colpocleisis deemed safe for advanced pelvic organ prolapse
Colpocleisis is a safe and effective treatment for advanced pelvic organ prolapse; however, urinary frequency and urgency often persist after the procedure, according to research published in the September issue of Urology.

(HealthDay)—Colpocleisis is a safe and effective treatment for advanced pelvic organ prolapse; however, urinary frequency and urgency often persist after the procedure, according to research published in the September issue of Urology.

Michelle E. Koski, M.D., of the Medical University of South Carolina in Charleston, and colleagues retrospectively characterized outcomes for 53 patients with Pelvic Organ Prolapse Questionnaire stage 3 or greater or Baden Walker grade 3 or greater who had undergone a colpocleisis procedure from 2001 to 2010.

The researchers found that 73.6 percent of the participants underwent total colpocleisis, 26.4 percent had a Le Fort procedure, and 60.4 percent underwent a concomitant sling procedure. After a mean follow-up of 9.3-months, four complications were reported: , pulmonary embolism, clot evacuation, and intraoperative cystotomy repair. None of the patients experienced new urgency, prolapse recurrence, or chronic urinary retention. persisted in four patients and started in one patient of the group who did not undergo a sling procedure. Twenty-two patients completed questionnaires; 90.9 percent reported their condition as much better. However, urinary frequency and urgency were a frequent postoperative complaint (33.3 percent on the Urinary Distress Invetory-6).

"In a selected patient population, colpocleisis is safe and efficacious. Persistent comprise the highest frequency of complaints after colpocleisis, and this must be included in patient counseling," the authors write. "In an aging patient population with expected increase in demand for pelvic floor reconstruction, colpocleisis is a useful approach for the ."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

PISQ-12 validated for patients with pelvic organ prolapse

Mar 03, 2012

(HealthDay) -- The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) has been shown to be a valid measure of sexual function in patients who undergo surgical mesh implantation for treatment ...

Recommended for you

Ebola: Keeping patients alive as body fights back

7 hours ago

People who shared an apartment with the first U.S. Ebola patient are emerging from quarantine healthy. And while Thomas Eric Duncan died and two U.S. nurses were infected caring for him, there are successes, ...

Study suggests altering gut bacteria might mitigate lupus

7 hours ago

Lactobacillus species, commonly seen in yogurt cultures, correlate, in the guts of mouse models, with mitigation of lupus symptoms, while Lachnospiraceae, a type of Clostridia, correlate with worsening, according to researc ...

User comments