Colpocleisis: Indications, technique and results

The aim of this review was to summarize recent published data about indications, surgical technique and results of colpocleisis. We conducted a literature search on Medline using PubMed from 1990 to 2008. Anatomical and functional results were assessed for each selected study according to the age and the morbidity of the surgical procedure. As the colpocleisis was complete or partial, anatomic success rates were reported near 100% with a follow-up ranged from one month to six years. Colpocleisis is an effective procedure for treatment of advanced pelvic organ prolapse in selected patient who no longer desire preservation of coital function. Concomitant anti-incontinence procedure is not associated with increased postoperative morbidity. However, preoperative urodynamics remain to be established for an optimal management of urinary incontinence. (c) 2009 Elsevier Masson SAS. All rights reserved.