Partial colpocleisis.

Abstract:

:Partial colpocleisis, in comparison with complete colpocleisis, offers several advantages. The most obvious advantage is the avoidance of recurrent prolapse in sexually nonactive, older patients. Historically, colpocleisis has been reported to produce stress incontinence, which may be avoided by partial colpocleisis. Careful attention to avoiding anterior wall adhesions by leaving anterior and posterior vaginal walls separated and a very small, nonfunctional vagina will prevent scarring with fixation at the bladder neck, which in most instances will result in stress incontinence. To leave a functional vagina in an elderly widow, not active for many years and with no plans for sexual activity, will leave the patient with the possibility of recurrent prolapse. Partial colpocleisis, a relatively short procedure with minimal blood loss and with careful attention to the avoidance of scarring between the anterior and posterior walls, will obviate the reported stress incontinence following complete colpocleisis. One hundred two cases from 1970 will be analyzed and reported.

journal_name

Am J Obstet Gynecol

authors

Langmade CF,Oliver JA Jr

doi

10.1016/0002-9378(86)90699-x

subject

Has Abstract

pub_date

1986-06-01 00:00:00

pages

1200-5

issue

6

eissn

0002-9378

issn

1097-6868

pii

0002-9378(86)90699-X

journal_volume

154

pub_type

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