Skip to main content


Log in

Long-term quality of life, satisfaction, pelvic floor symptoms and regret after colpocleisis

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript



The aim of this study is to present long-term results including patients’ satisfaction, pelvic floor symptoms, regret and change in body image in a long-term follow-up after colpocleisis.


All women who underwent colpocleisis between September 2001 and February 2014 were identified from the hospital operating lists. These women were contacted for a telephone survey up to 13 years after surgery and asked to complete a structured questionnaire to assess patients’ satisfaction, Quality of Life (QoL) and pelvic floor symptoms.


A total of 44 women underwent colpocleisis during the period from September 2001 to February 2014. Mean age was 78 years (range 65–91) years. Mean follow-up time was 41 months (range 10–120). Twenty women could be reached for the survey and were included in the analysis. 15 (75 %) reported a positive impact on QoL, 2 (10 %) a negative because of urinary problems, 2 (10 %) could not report any change in the QoL and 1 (5 %) could not answer this question. There was no recurrence of prolapse. The majority of patients (90 %) would undergo the same surgery again and no patient regretted the loss of her vaginal sexual function.


Colpocleisis seems to be an effective treatment for pelvic organ prolapse. In the long term, impact on quality of life is positive, whilst urinary tract symptoms seem to be the most bothersome factor.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others


  1. Jelovsek JE, Maher C, Barber MD (2007) Pelvic organ prolapse. Lancet 369(9566):1027–1038

    Article  PubMed  Google Scholar 

  2. FitzGerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H, Weber A (2006) Colpocleisis: a review. Int Urogynecol J 17:261–271

    Article  Google Scholar 

  3. Abbasy S, Kenton K (2010) Obliterative procedures for pelvic organ prolapse. Clin Obstet Gynecol 53:86–98

    Article  PubMed  Google Scholar 

  4. Skoczylas LC, Turner LC, Wang L, Winger DG, Shepherd JP (2014) Changes in prolapse surgery trends relative to FDA notifications regarding vaginal mesh Int Urogynecol J 25:471–477

    PubMed  Google Scholar 

  5. Misrai V, Gosseine PN, Costa P, Haab F, Delmas V (2009) Colpocleisis: indications, technique and results. Prog Urol 19(13):1031–1036

    Article  CAS  PubMed  Google Scholar 

  6. Wei JT, Nygaard I, Richter HE, Nager CW, Barber MD, Kenton K et al (2012) A midurethral sling to reduce incontinence after vaginal prolapse repair. N Engl J Med 366(25):2358–2367

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Zebede S, Smith A, Plowright L, Hegde A, Aguilar V, Davila W (2013) Obliterative LeFort colpocleisis in a large group of elderly women. Obstet Gynecol 121:279–284

    Article  PubMed  Google Scholar 

  8. Reisenauer C, Oberlechner E, Schoenfisch B, Wallwiener D, Huebner M (2013) Modified LeFort colpocleisis: clinical outcome and patient satisfaction. Arch Gynecol Obstet 288:1349–1353

    Article  PubMed  Google Scholar 

  9. Vij M, Bombieri A, Dua A, Freeman R (2014) Long-term follow-up after colpocleisis: regret, bowel and bladder function. Int Urogynecol J 25(6):811–815. doi:10.1007/s00192-013-2296-3

    Article  CAS  PubMed  Google Scholar 

  10. Koski M, Chow D, Bedestani A, Togami J, Chesson R, Winters C (2012) Colpocleisis for advanced pelvic organ prolapse. Urology 80:542–546

    Article  PubMed  Google Scholar 

  11. Boyles S, Weber A, Meyer A, Meyn L (2003) Procedures for pelvic organ prolapse in the United States 1979–1999. Am J Obstet Gynecol 188:108–115

    Article  PubMed  Google Scholar 

  12. Lindau ST, Schumm LP, Laumann EO et al (2007) A study of sexuality and health among older adults in United States. N Engl J Med 357:762–774

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Crisp C, Book N, Smith A, Cunkelman J, Mishan V, Treszezamsky A, Adams S, Apostolis C, Lowenstein L, Pauls R (2013) Body image, regret and satisfaction following colpocleisis. Am J Obstet Gynecol 209:473 (e1–7)

    Article  PubMed  Google Scholar 

  14. Mothes AR, Radosa MP, Altendorf-Hofmann A (2016) Runnebaum IB Risk index for pelvic organ prolapse based on established individual risk factor. Arch Obstet Gynecol 293:617–624

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Tilemachos Kavvadias.

Ethics declarations


No funding.

Conflict of interest


Ethical approval

All procedures performed in the study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Katsara, A., Wight, E., Heinzelmann-Schwarz, V. et al. Long-term quality of life, satisfaction, pelvic floor symptoms and regret after colpocleisis. Arch Gynecol Obstet 294, 999–1003 (2016).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: