Skip to Main content Skip to Navigation
Journal articles

Technical considerations and mid-term follow-up after vaginal hysterocolpectomy with colpocleisis for pelvic organ prolapse

Abstract : Objectives At the time of controversies on surgical treatment of pelvic organ prolapse, our aim was to describe an effective technique of hysterocolpectomy with colpocleisis for elderly patients not wishing to maintain vaginal sexual activity and present mid-term results including pelvic floor symptoms and quality of life, patient satisfaction and surgical complications using validated scores. Study design We conducted a retrospective study of all patients having undergone this surgery between June 2006 and June 2016. Women were examined using POP-Q classification and completed validated questionnaires concerning symptoms and quality of life before and after the surgery. Patient satisfaction was assessed using the PGI-I. Complications were described according to the Clavien-Dindo classification. Results During the 10-year period, 37 women underwent the surgery with a mean age at surgery of 81.2 years (range: 61–93 years). One per-operative complication occurred (a rectal wound that was sutured) and five Clavien-Dindo grade 3b postoperative complications. Three repeat operations were necessary within 15 days; one suburethral sling had to be lowered because of urinary retention; one tension-free vaginal tape had to be unilaterally sectioned for acute urinary retention; and one woman presented a pararectal abscess requiring surgical drainage. The mean duration of hospitalization was 5.5 (+/-4.2) days. The mean follow-up time was 44.1 (±30.1) months. All symptoms and quality of life scores decreased significantly after the surgery and patient satisfaction was good (PGI-I score = 1.55 +/-0.8). Conclusions Hysterocolpectomy with colpocleisis appears to be an effective treatment with a high level of patient satisfaction among the elderly.
Document type :
Journal articles
Complete list of metadatas

https://hal.uvsq.fr/hal-02553846
Contributor : Équipe Hal Uvsq <>
Submitted on : Friday, April 24, 2020 - 6:08:06 PM
Last modification on : Monday, June 8, 2020 - 8:44:02 AM

Identifiers

Citation

Anne Villot, Anne-Cécile Pizzoferrato, Annie Longie, Bernard-Jean Paniel, Arnaud Fauconnier. Technical considerations and mid-term follow-up after vaginal hysterocolpectomy with colpocleisis for pelvic organ prolapse. European Journal of Obstetrics & Gynecology and Reproductive Biology, Elsevier, 2020, 247, pp.73-79. ⟨10.1016/j.ejogrb.2020.02.001⟩. ⟨hal-02553846⟩

Share

Metrics

Record views

14