Evaluation of Patients Undergoing Colpocleisis: A Single-Center Experience

Authors : Selim GÜLÜCÜ, Neşet GÜMÜŞBURUN

Pages : 971-974

View : 25 | Download : 7

Publication Date : 2022-10-29

Article Type : Research Paper

Abstract :The aim was to evaluate patients who underwent colpoclesis due to pelvic organ prolapse insert ignore into journalissuearticles values(POP);. This cross-sectional study included patients who had undergone colpoclesis surgery. Age, gravity, parity, systemic diseases, examination findings, anesthetic methods used, surgical complications, additional operations, and length of hospital stay were recorded. At evaluation, patients were divided into two groups: partial colpoclesis and total colpoclesis. The mean age of patients was 73.25±5.45 insert ignore into journalissuearticles values(60-80);, gravidity was 4.58±2.38 insert ignore into journalissuearticles values(2-11);, and parity was 4.08±1.45 insert ignore into journalissuearticles values(2-7);. While uterine prolapse was observed in 47 insert ignore into journalissuearticles values(97.9%); patients, one patient was found to have vaginal cuff prolapse. Partial colpoclesia was performed in 28 insert ignore into journalissuearticles values(58.3%); of the patients. While 16 of the patients insert ignore into journalissuearticles values(33.3%); had no additional systemic disease, the remaining patients had at least one systemic disease, with hypertension being the most common at 58.3%. Twenty-eight of the patients insert ignore into journalissuearticles values(58.3%); underwent surgery under general anesthesia and the rest under spinal anesthesia. While no postoperative complication occurred in 46 insert ignore into journalissuearticles values(95.8%); of the patients, blood transfusion insert ignore into journalissuearticles values(erythrocyte suspension); was observed in one patient and delirium was observed in another patient after surgery. The postoperative discharge time of patients was 3.66±2.10 insert ignore into journalissuearticles values(2-9); days. Statistically significant differences were found between the partial and total colpoclesis groups in terms of age, gravity and parity insert ignore into journalissuearticles values(p=0.002, p=0.022, and p=0.030, respectively);. There were no significant differences between groups in discharge time insert ignore into journalissuearticles values(p = 0.143); and type of anesthesia insert ignore into journalissuearticles values(p=0.104);. Colpoclesis surgery can be safely performed in elderly patients diagnosed with pelvic organ prolapse who are not sexually active. This method should be recommended as an option, especially in patients with complicated systemic diseases. Although short-term serious complications are not uncommon in patients, routine follow-up of patients with partial colpoclesis for long-term complications should be continued.
Keywords : Colpoclesis, pelvic organ prolapse, hysterectomy, pelvic floor disorder, LeFort

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