Abstract
The aim of this study was to describe the results of and complications after colpectomy and colpocleisis in selected elderly women with no wish for future coitus. Forty-two patients were operated by either colpectomy or colpocleisis during which special care was taken not to involve the area beneath the urethra. Patients were evaluated before and 3 months after the operation. No severe complications of the operations were observed. No cases of recurrence of the vault prolapse and no cases of de novo incontinence were observed after 3 months. A telephone interview performed after a mean of 46 months showed satisfaction with the operation in 90% of cases. Colpectomy and colpocleisis are important operations in the armamentarium of the urogynecological surgeon. The operations can be used in selected cases.
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Editorial Comment: The authors describe a case series of colpectomy and Le Fort colpocleisis; however, the study is limited by several problems. First of all, the authors do not state what their criteria were for performing or not performing the procedures and what other procedures were done during the same timeframe. They also do not list whether the operations were performed under general or local anesthesia, nor do they list the length of time that the patients were operated on. There is no comparison between a traditional repair and this, so there is no reason to believe that the colpectomy/colpocleisis was superior to any other type of repair. The authors do a nice job in the discussion; however, their study really adds nothing to existing data
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Glavind, K., Kempf, L. Colpectomy or Le Fort colpocleisis—a good option in selected elderly patients. Int Urogynecol J 16, 48–51 (2005). https://doi.org/10.1007/s00192-004-1218-9
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DOI: https://doi.org/10.1007/s00192-004-1218-9