Vaginal partitioning with vertical septum—an alternative to colpocleisis
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Sarita Kakatkar
- چاپ و سال / کشور: 2010
Description
The purpose of this study is to design and deploy an effective technique for prolapse repair in sexually inactive, geriatric patients which addresses all associated postoperative issues. A study group of 34 patients underwent vaginal partitioning with vertical septum (VPwVS). All 34 patients could successfully undergo VPwVS. Blood loss and surgical duration were comparable with conventional colpocleisis (CC). Postoperatively, no patient had recurrence of prolapse, de novo appearance, and/or recurrence of urinary or bowel symptoms, and no patient developed hematometra or pyometra. Pap smear collection is possible. This study shows that VPwVS is a holistic solution for prolapse repair among sexually inactive, geriatric patients, addressing all related issues and appears better than CC; however, a larger, multicentric study may be needed to statistically prove its advantage over CC. VPwVS’s relevance is pronounced with an increasing geriatric population.
Gynecol Surg DOI 10.1007/s10397-010-0641-9 Received: 21 October 2010 / Accepted: 8 November 2010
