Colpectomy or Le Fort colpocleisis?a good option in selected elderly patients

• DOI: 10.1007/s00192-004-1218-9
• Publication Date: 2004-08-18T11:43:08Z
• Authors: Karin Glavind; Lillan Kempf
• Keywords: Uterine prolapse

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.