Clinical effect of “工”-shape partial colpocleisis in elderly women
with pelvic organ prolapse: a retrospective cohort study
Abstract
Objective This study was performed to determine the effect of
“工”-shape partial colpocleisis (modified LeFort partial colpocleisis)
in elderly women with advanced pelvic organ prolapse. Design A
retrospective cohort study. Setting One public hospital in China.
Population 67 women with grade 3 or 4 POP undergoing surgery from
January 2015 to December 2019. Methods This retrospective cohort study
involved women who underwent “工”-shape partial colpocleisis for
advanced pelvic organ prolapse. We collected data regarding the
patients’ baseline characteristics, comorbidities, severity of prolapse,
operation time, and postoperative complications. Subjective
postoperative outcomes and patient satisfaction levels were also
assessed. Main Outcome Measures Operation time, intraoperative blood
loss, postoperative hospital stay, operative complications and patients’
satisfaction. Results Overall, 67 women were included. The mean
operation time was 71.3 ± 21.7 minutes, and the mean intraoperative
blood loss was 81.3 ± 36.7 ml. The mean postoperative hospital stay was
4.6 ± 3.0 days. No intraoperative complications occurred, and 8.96% of
patients had postoperative complications. All patients were satisfied
with the outcome of the “工”-shape partial colpocleisis procedure.
Conclusion The “工”-shape partial colpocleisis procedure had a high
satisfaction rate and a positive impact on pelvic symptoms. It was
associated with minimal adverse events in women with advanced apical
pelvic organ prolapse. This procedure should be considered a treatment
option for advanced apical pelvic organ prolapse in selected elderly
women who do not wish to conserve their vaginal coital function.