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Obliterative Vaginal Procedures

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Female Pelvic Surgery

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Abstract

Surgical repair of pelvic organ prolapse is challenging and has been fraught with a high reoperation rate. Obliterative procedures are an attractive option in the properly selected patient due to the high anatomic success rates of 97–100 %. Colpocleisis carries less surgical risk than some reconstructive procedures since there is no entry into the peritoneal cavity. Following colpocleisis there are high rates of resolution of other pelvic floor symptoms including lower urinary tract symptoms, incomplete bladder emptying, and various bowel complaints. Because colpocleisis eliminates the possibility of future vaginal intercourse, preoperative counseling is extremely important and patient selection is key. Patients report a high rate of satisfaction after colpocleisis and regret is low.

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Authors and Affiliations

  1. Department of Urology, Louisiana State University Health Sciences Center, New Orleans, LA, USA

    Karen Soules M.D., Ryan M. Krlin M.D. & Jack Winters M.D.

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  1. Karen Soules M.D.
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  2. Ryan M. Krlin M.D.
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  3. Jack Winters M.D.
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Correspondence to Jack Winters M.D. .

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Editors and Affiliations

  1. LIJ School of Medicine, The Smith Institute for Urology Hofstra North Shore-, Lake Success, New York, USA

    Farzeen Firoozi

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Soules, K., Krlin, R.M., Winters, J. (2015). Obliterative Vaginal Procedures. In: Firoozi, F. (eds) Female Pelvic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1504-0_6

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  • DOI: https://doi.org/10.1007/978-1-4939-1504-0_6

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