Colpocleisis: Current Practice and Complications

Part of the Current Clinical Urology book series (CCU)


The term colpocleisis is derived from the ancient Greek term “kolpos,” which refers to a fold in the Greek tunic and “cleisis,” which stands for occlusion or closure. Colpocleisis is the obliterative alternative to reconstructive surgery, offered to women with stage II–IV Pelvic Organ Prolapse (POP) who are at high risk to surgery and no longer wish to preserve coital function per vagina.


  1. 1.
    Boyles S, Weber A, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol. 2003;188(1):108–15.PubMedCrossRefGoogle Scholar
  2. 2.
    Thompson HG, Murphy Jr CJ, Picot H. Hysterocolpectomy for the treatment of uterine procidentia. Am J Obstet Gynecol. 1961;82:748–51.PubMedGoogle Scholar
  3. 3.
    Rubovits W, Litt S. Colpocleisis in the treatment of uterine and vaginal prolapse. Am J Obstet Gynecol. 1935;29:222–30.Google Scholar
  4. 4.
    Wyatt J. Le Fort’s operation for prolapse, with an account of eight cases. J Obstet Gynaecol Br Emp J. 1912;22:266–9.CrossRefGoogle Scholar
  5. 5.
    Ubachs JM, van Sante TJ, Schellekens LA. Partial colpocleisis by a modification of LeFort’s operation. Obstet Gynecol. 1973;42:415–20.PubMedGoogle Scholar
  6. 6.
    FitzGerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H, Weber A, for the Pelvic Floor Disorders Network. Colpocleisis: a review. Int Urogyn J. 2006;17:261–71.Google Scholar
  7. 7.
    Bradbury WC. Subtotal vaginectomy. Am J Obstet Gynecol. 1963;86:663–71.PubMedGoogle Scholar
  8. 8.
    Abbasy M, Kenton K. Obliterative procedures for pelvic organ prolapse. Clin Obstet Gynecol. 2010;53(1):86–98.PubMedCrossRefGoogle Scholar
  9. 9.
    Elkadry EA, Kenton KS, FitzGerald MP, et al. Patient-selected goals: a new perspective on surgical outcome. Am J Obstet Gynecol. 2003;189:1551–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: key indicators of well-being. Federal interagency forum on aging-related statistics. Washington, DC: U.S. Government printing office; 2008.Google Scholar
  11. 11.
    Sung VW, Weitzen S, Sokol ER, et al. Effect of patient age on increasing morbidity and mortality following urogynecologic surgery. Am J Obstet Gynecol. 2006;194:1411–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Beverly CM, Walters MD, Weber AM, et al. Prevalence of hydronephrosis in patients undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 1997;90: 37–41.PubMedCrossRefGoogle Scholar
  14. 14.
    Fitzgerald MP, Kulkarni N, Fenner D. Postoperative resolution of urinary retention in patients with advanced pelvic organ prolapse. Am J Obstet Gynecol. 2000;183:1361–3.PubMedCrossRefGoogle Scholar
  15. 15.
    Fitzgerald MP. Colpocleisis and urinary incontinence. Am J Obstet Gynecol. 2003;189:1241–4.PubMedCrossRefGoogle Scholar
  16. 16.
    Fitzgerald MP, Richter HE, Bradley CS, et al. Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1603–9.PubMedCrossRefGoogle Scholar
  17. 17.
    Van Huisseling JCM. A modification of Labhardt’s high perineoplasty for treatment of pelvic organ ­prolapse in the very old. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:185–91.PubMedCrossRefGoogle Scholar
  18. 18.
    Murphy M, Sternschuss G, Haff R, et al. Quality of life and surgical satisfaction after vaginal reconstructive vs. obliterative surgery for the treatment of advanced pelvic organ prolapse. Am J Obstet Gynecol. 2008;198:573.e1–7Google Scholar
  19. 19.
    Agarwala N, Hasiak N, Shade M. Graft interposition colpocleisis, perineorrhaphy, and tension-free sling for pelvic organ prolapse and stress urinary incontinence in elderly patients. J Minim Invasive Gynecol. 2007;14(6):740–5.PubMedCrossRefGoogle Scholar
  20. 20.
    Roovers JWR, Oelke M. Clinical relevance of urodynamic investigation tests prior to surgical correction of genital prolapse: a literature review. Int Urogynecol J. 2007;18:455–60.CrossRefGoogle Scholar
  21. 21.
    Hoffman MS, et al. Vaginectomy with pelvic herniorrhaphy for prolapse. Am J Obstet Gynecol. 2003;189:364–71.PubMedCrossRefGoogle Scholar
  22. 22.
    Katz PR, Grossberg GT, Potter JF, et al. Geriatric syllabus for the specialists. New York: American Geriatrics Society; 2002.Google Scholar
  23. 23.
    Segal JL, Owens G, Silva WA, et al. A randomized trial of local anesthesia with intravenous sedation vs general anesthesia for the vaginal correction of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:807–82.PubMedCrossRefGoogle Scholar
  24. 24.
    Wheeler TL, Gerten KA, Garris J. Obliterative vaginal surgery for pelvic organ prolapse. Obstet Gynecol Clin North Am. 2009;36:637–58.PubMedCrossRefGoogle Scholar
  25. 25.
    Lambrou NC, Buller JL, Thompson JR, Cundiff GW, Chou B, Montz FJ. Prevalence of perioperative complications among women undergoing reconstructive pelvic surgery. Am J Obstet Gynecol. 2000;183:1355–8.PubMedCrossRefGoogle Scholar
  26. 26.
    Giannice R, Foti E, Poerio A, Marana E, Mancuso S, Scambia G. Perioperative morbidity and mortality in elderly gynecological oncological patients (O70 years) by the American Society of Anesthesiologists physical status classes. Ann Surg Oncol. 2004;11:219–25.PubMedCrossRefGoogle Scholar
  27. 27.
    Stepp KJ, Barber MD, Yoo E-H, Whiteside JL, Paraiso MF, Walters MD. Incidence of perioperative complications of urogynecologic surgery in elderly women. Am J Obstet Gynecol. 2005;192(5):1630–6. doi:10.1016/j.ajog.2004.11.026.PubMedCrossRefGoogle Scholar
  28. 28.
    Latthe PM, Karri K, Arunkalaivanan AS. Colpocleisis revisited. Obstet Gynaecol. 2008;10:133–8. doi:10.1576/toag. Scholar
  29. 29.
    Von Pechmann WS, et al. Total colpocleisis with high levator plication for the treatment of advanced pelvic organ prolapse. Am J Obstet Gynecol. 2003;189:121–6.CrossRefGoogle Scholar
  30. 30.
    FitzGerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H, Weber A, for the Pelvic Floor Disorders Network. Colpocleisis: a review. Int Urogyn J. 2006;17:261–7.Google Scholar
  31. 31.
    Roth TM. Pyometra and recurrent prolapse after Le Fort colpocleisis. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:687–8.PubMedCrossRefGoogle Scholar
  32. 32.
    Moore RD, Miklos JR. Repair of a vaginal evisceration following colpocleisis utilizing an allogenic dermal graft. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12:215–7. doi:10.1007/PL00004035, doi:10.1007/s00192-006-0201-z.
  33. 33.
    Falk H, Kaufman S. Partial colpocleisis: the Le Fort procedure (analysis of 100 cases). Obstet Gynecol. 1955;5:617.PubMedGoogle Scholar
  34. 34.
    Hanson GE, Keettel WC. The Neugebauer Le Fort operation (a review of 288 colpocleisis). Obstet Gynecol. 1969;34:352–7.PubMedGoogle Scholar
  35. 35.
    Pratt JH, Baker RK. Urinary incontinence following the Le Fort operation: report of a case. Obstet Gynecol. 1960;16:722–3.PubMedGoogle Scholar
  36. 36.
    Wei J, Nygaard I, Richter H, et al. Outcomes following vaginal prolapse repair and mid urethral sling (OPUS) trial—design and methods. Clin Trials. 2009;6:162–71.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Urogynecology Service, Department of Obstetrics and GynecologyTechnion-Israel Institute of TechnologyHaifaIsrael

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