[Colpocleisis: guidelines for clinical practice]. / Chirurgie d'occlusion vaginale (colpocléisis) pour prolapsus génital : recommandations pour la pratique clinique.
Prog Urol
; 26 Suppl 1: S61-72, 2016 Jul.
Article
em Fr
| MEDLINE
| ID: mdl-27595627
ABSTRACT
OBJECTIVE:
To provide clinical practice guidelines (CPGs) based on the best evidence available (level of evidence (LE)), concerning colpocleisis as a surgical treatment of pelvic organ prolapse.METHODS:
This article concern a systematically review of the literature concerning colpocleisis (obliterative surgery).RESULTS:
At short term follow-up, colpocleisis is associated with an anatomical success rate of 98 % (LE3) and a subjective success rate of 93% (LE3). A decrease in genital, urinary and anorectal symptoms and an enhancement of quality of life are observed in most women following colpocleisis (LE4). At mid-term (1 to 3 years) follow-up, patients' satisfaction ("satisfied" or "very satisfied" ranges from 85 to 100% (LE3)). At long-term follow-up, regret rate (women who regret having had the surgery) is 5% (LE4). In women over 80 years old, colpocleisis is associated with a decrease in per-and post-operative complication rates when compare to other surgical techniques used for pelvic organ prolapse surgery (LE2).CONCLUSION:
Colpocleisis is a valid surgical option for elderly patients with pelvic organ prolapse surgery, and who are definitely permanently sexually inactive (Grade C). © 2016 Published by Elsevier Masson SAS.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos em Ginecologia
/
Vagina
/
Guias de Prática Clínica como Assunto
/
Prolapso de Órgão Pélvico
Tipo de estudo:
Guideline
Limite:
Female
/
Humans
Idioma:
Fr
Ano de publicação:
2016
Tipo de documento:
Article