Advertisement

International Urogynecology Journal

, Volume 29, Issue 6, pp 917–919 | Cite as

LeFort colpocleisis: a step-by-step simulation video for Female Pelvic Surgeons

  • Andrey PetrikovetsEmail author
  • Theresa Fisher
  • Christina Krudy
  • David Sheyn
  • Jeffrey Mangel
  • Sangeeta T. Mahajan
IUJ Video

Abstract

Introduction and hypothesis

LeFort colpocleisis is a minimally invasive surgical option for patients with pelvic organ prolapse who no longer desire sexual activity. Pelvic surgeons have limited exposure to this procedure during their training, and are therefore less likely to offer this procedure to their patients.

Methods

We use a split screen live action surgery, side by side with a low cost 3D model of a prolapse to describe a LeFort colpocleisis step by step.

Results

This video is an easily reproducible guide to the steps and surgical techniques necessary to successfully perform a LeFort colpocleisis. The simulation model can be used to educate and train those performing female pelvic surgery.

Conclusion

Pelvic surgeons should be able to offer LeFort colpocleisis to their patients. This video may be used to facilitate the understanding and reproducibility of the procedure.

Keywords

LeFort colpocleisis Educational model Pelvic organ prolapse Surgical video 

Notes

Compliance with ethical standards

Conflicts of interest

A.P., T.F., C.K., D.S., J.M. do not have any disclosures.

S.T.M. acts as a consultant and lecturer for Allergan and Astellas.

Consent

Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

Supplementary material

ESM 1

(MP4 93,660 kb)

References

  1. 1.
    Ortman JM, Velkoff VA, Hogan H (2014) An aging nation: the older population in the United States. U.S Department of Commerce Economics and Statistics Administration. www.census.gov/prod/2014pubs/p25-1140.pdf
  2. 2.
    Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186(6):1160–1166CrossRefPubMedGoogle Scholar
  3. 3.
    Wu JM, Matthews CA, Conover MM, Pate V, Funk MJ (2014) Lifetime risk of stress incontinence or pelvic organ prolapse surgery. Obstet Gynecol 123(6):1201–1206CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Boyles SH, Weber AM, Meyn L (2003) Procedures for pelvic organ prolapse in the United States, 1979-1997. Am J Obstet Gynecol 188(1):108–115CrossRefPubMedGoogle Scholar
  5. 5.
    FitzGerald MP, Richter HE, Siddique S, Thompson P, Zyczynski H (2006) Colpocleisis: a review. Int Urogynecol J 17(3):261–271CrossRefGoogle Scholar
  6. 6.
    Barber MD, Amundsen CL, Paraiso MFR, Weidner AC, Romero A, Walters MD (2007) Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery. Int Urogynecol J 18(7):799–806CrossRefGoogle Scholar
  7. 7.
    Song X, Zhu L, Ding J, Xu T, Lang J (2016) Long-term follow-up after LeFort colpocleisis: patient satisfaction, regret rate, and pelvic symptoms. Menopause 23(6):621–625CrossRefPubMedGoogle Scholar
  8. 8.
    Harmanli OH, Dandolu V, Chatwani AJ, Grody MH (2003) Total colpocleisis for severe pelvic organ prolapse. J Reprod Med 48(9):703–706PubMedGoogle Scholar
  9. 9.
    Casiano ER, Wendel GD, Congleton MJ, Wai CY (2012) Urogynecology training and practice patterns after residency. J Surg Educ 69(1):77–83CrossRefPubMedGoogle Scholar
  10. 10.
    Yun JJ, Siddighi S (2013) Perceptions and practice patterns of general gynecologists regarding urogynecology and pelvic reconstructive surgery. Female Pelvic Med Reconstr Surg 19:225–229CrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2017

Authors and Affiliations

  1. 1.Department of Female Pelvic Medicine & Reconstructive Surgery, Urology InstituteUniversity Hospitals Cleveland Medical CenterClevelandUSA
  2. 2.Department of Urogynecology and Pelvic Reconstructive SurgeryMetroHealth Medical CenterClevelandUSA

Personalised recommendations