Uterine preservation vs hysterectomy in pelvic organ prolapse surgery: a systematic review with meta-analysis and clinical practice guidelines

The aim of this study is to present long-term results including patients’ satisfaction, pelvic floor symptoms, regret and change in body image in a long-term follow-up after colpocleisis. All women who underwent colpocleisis between September 2001 and February 2014 were identified from the hospital operating lists. These women were contacted for a telephone survey up to 13 years after surgery and asked to complete a structured questionnaire to assess patients’ satisfaction, Quality of Life (QoL) and pelvic floor symptoms. A total of 44 women underwent colpocleisis during the period from September 2001 to February 2014. Mean age was 78 years (range 65–91) years. Mean follow-up time was 41 months (range 10–120). Twenty women could be reached for the survey and were included in the analysis. 15 (75 %) reported a positive impact on QoL, 2 (10 %) a negative because of urinary problems, 2 (10 %) could not report any change in the QoL and 1 (5 %) could not answer this question. There was no recurrence of prolapse. The majority of patients (90 %) would undergo the same surgery again and no patient regretted the loss of her vaginal sexual function. Colpocleisis seems to be an effective treatment for pelvic organ prolapse. In the long term, impact on quality of life is positive, whilst urinary tract symptoms seem to be the most bothersome factor.

Long-term quality of life, satisfaction, pelvic floor symptoms and regret after colpocleisis.

Comment faire sans les bandelettes de renfort vaginal ?

Pelvic organ prolapse, particularly in the anterior compartment, is a prevalent condition that significantly impacts women’s quality of life. Two common surgical approaches for managing anterior vaginal wall prolapse are anterior colporrhaphy and paravaginal repair. Anterior colporrhaphy, a traditional technique, involves the plication of weakened fascial tissues to restore support to the bladder and anterior vaginal wall. Paravaginal repair addresses lateral detachment of the anterior vaginal wall by reattaching it to its supportive structures. This review aimed to compare the indications, techniques, and outcomes between these surgical methods, discussing their efficacy, recurrence rates, and complications. Although anterior colporrhaphy is widely used, paravaginal repair may offer superior results in specific cases, particularly those involving lateral defects. The review also explored the evolution of these techniques, the role of grafts and mesh, and the potential benefits of minimally invasive approaches such as laparoscopy and robotic surgery. The goal is to provide clinicians with comprehensive insights into choosing the appropriate surgical option based on individual patient anatomy and clinical presentation, thus optimizing outcomes and minimizing recurrence. 

Anterior Colporrhaphy and Paravaginal Repair for Anterior Compartment Prolapse: A Review

La colporraphie traditionnelle a-t-elle encore une place dans le traitement de la colpocèle antérieure ? Does traditional colporraphy still have a role to play in the treatment of anterior colpocele?

Le cloisonnement vaginal : indications, technique et résultats Colpocleisis: Indications, technique and results

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La colporraphie traditionnelle a-t-elle encore une place dans le traitement de la colpocèle antérieure ? Does traditional colporraphy still have a role to play in the treatment of anterior colpocele?

Le cloisonnement vaginal : indications, technique et résultats Colpocleisis: Indications, technique and results