Colpocleisis
Colpocleisis (Ancient Greek: kolpos, meaning "hollow" + cleisis, meaning "closure") is a surgical procedure involving closure of the anterior and posterior vaginal walls.
The procedure is indicated in women with recurrent or severe pelvic organ prolapse who no longer desire penetrative vaginal sexual intercourse. There are two different types of colpocleisis: partial and complete. Partial (LeFort) colpocleisis is indicated in patients who still have their uterus, whereas complete colpocleisis is indicated in patients who have already had a hysterectomy.
For the procedure itself, a partial (LeFort) colpocleisis includes the following steps: The vagina is first pulled outward on traction and everted so the cervix is nearest to the viewer. The epithelial layer of the anterior and posterior vaginal walls are dissected off, and then sutures are approximated and run along the cervix and the lateral walls to close off the vagina. The vagina is then inverted back to normal anatomical position. The partial (LeFort) colpocleisis is more commonly performed than the complete colpocleisis. See procedure section for complete colpocleisis steps. The most common post-operative complication after a partial colpocleisis is a urinary tract infection.
The predominant socioeconomic demographic of patients undergoing colpocleisis are patients older than 71 years old, of white race, and have Medicare for insurance. Shared decision-making is essential to ensure patients understand the irreversible nature of the procedure. Informed consent discussions often involve family members or caregivers, especially when the patient is elderly or has cognitive decline.
Toxoplasmosis
- 2023-01-22T00:00:00.000000Z
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