Colpocléisis selon la technique de Lefort : une série rétrospective

Abstract

Treatments of pelvic organ prolapse are pelvic floor rehabilitation, surgery by abdominal or vaginal route, with or without prosthesis, and pessaries. Since last decade, increasing elderly patients seen for pelvic organ prolapse require to redefine the place of the obliterative vaginal surgery, among the existent surgical procedures. Our objectives were to describe the morbidity associated with colpocleisis, to determine the anatomical results of colpocleisis, and patient's satisfaction. Retrospective case series of 27 patients who underwent a vaginal closure (Lefort) between 2004 and 2010. Twenty-seven patients underwent an obliterative vaginal surgery for genital prolapse. The mean age was 79 years (range 74.5-82.5). The mean surgical time was 70 minutes (range: 60-87.5). We did not notice any per-surgical complication. During follow-up (median: 3 years, extremes: 1-10 years), the global satisfaction rate was 94%. Objective cure rate, defined as the absence of prolapse to the hymen, was 96% (26/27). Only one (3.7%) case of pelvic organ prolapse recurrence occurred and needed surgery. The current study showed that Lefort colpocleisis technique was associated with a good patients' satisfaction and functional results in a population aged over 75.