Comparison of Clinical Results of Lefort and Total Colpocleisis Operations Performed in Patients with Uterovaginal Pelvic Prolapse

Year 2023, , 494 - 497, 31.12.2023

Hale Çetin Arslan , Kadir Arslan , Ayşe Özge Şavklı

https://doi.org/10.36516/jocass.1350219

Abstract

Purpose: The aim of this study is to compare the clinical results and operation success of Lefort and Total Colpocleisis surgeries performed in patients with stage 2 and above pelvic organ prolapse (POP).
Materials and Methods: This retrospective cohort study included 40 patients who underwent Lefort and Total Colpocleisis surgeries in our clinic between 2015-2022. Demographic and clinical results were obtained from the hospital database. Data on the presence of relapse and de novo incontinence symptoms, postoperative complications, and their management were obtained from individual postoperative examinations of the patients.
Results: The mean age at operation was 75.7±6.7. The mean parity of the patients was four, and all had a normal vaginal delivery. It was observed that 67.5% of the subjects had at least one comorbidity. The anatomic success rate of Total colpocleisis at one-year follow-up was 95.4%, and Lefort colpocleisis was 94.4%. The incidence of de novo stress urinary incontinence at one-year follow-up was 10%. The subjects were treated with mini-sling operations.
Conclusion: Colpoclesis can be safely applied in the elderly and sexually inactive population due to its low perioperative complications and recurrence rates compared to reconstructive surgeries. It should be kept in mind that de novo incontinence may occur after colpoclesis surgery.

Keywords

Lefort Colpocleisis, colpocleisis, pelvic organ prolapse, urinary incontinence

Uterovaginal Pelvik Prolapsuslu Hastalarda Uygulanan Lefort ve Total Kolpokleisis Ameliyatlarının Klinik Sonuçlarının Karşılaştırılması

Abstract

Amaç: Bu çalışmanın amacı evre 2 ve üzeri pelvik organ prolapsusu (POP) olan hastalarda uygulanan Lefort ve Total Kolpokleisis ameliyatlarının klinik sonuçları ve ameliyat başarısının karşılaştırılmasıdır.
Gereç ve yöntem: Bu retrospektif kohort çalışmasına 2015-2022 yılları arasında kliniğimizde Lefort ve Total Kolpokleisis cerrahisi uygulanan 40 hasta dahil edildi. Demografik ve klinik sonuçlar hastane veri tabanından elde edildi. Nüks ve de novo inkontinans semptomlarının varlığı, postoperatif komplikasyonlar ve yönetimi ile ilgili veriler hastaların ameliyat sonrası bireysel muayenelerinden elde edildi.
Bulgular: Ortalama operasyon yaşı 75,7±6,7 idi. Hastaların ortalama paritesi dörttü ve hepsi normal vajinal doğum yaptı. Olguların %67,5'inde en az bir ek hastalık olduğu görüldü. Bir yıllık takipte Total colpocleisis anatomik başarı oranı %95.4 ve Lefort colpocleisis %94.4 idi. Bir yıllık takipte de novo stres üriner inkontinans insidansı %10 idi. Hastalar mini-sling operasyonları ile tedavi edildi.
Sonuç: Kolpoklesis, rekonstrüktif cerrahilere göre düşük perioperatif komplikasyonları ve nüks oranları nedeniyle yaşlı ve cinsel olarak aktif olmayan popülasyonda güvenle uygulanabilir. Kolpoklesis ameliyatından sonra de novo inkontinansın oluşabileceği akılda tutulmalıdır.

Keywords

Kolpokleizis, pelvik organ prolapsus, üriner inkontinans

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