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Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie · 2005

[Is colpocleisis still indicated for the treatment of female genitourinary prolapse?].

Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Ghibaudo Christophe, Hocke Claude

Аннотация

OBJECTIVE: To analyse the place of colpocleisis in the treatment of genitourinary prolapse with or without stress urinary incontinence.

MATERIAL AND METHODS: The authors retrospectively reviewed 19 patients operated for advanced genitourinary prolapse associated with stress urinary incontinence in 11 cases. The surgical technique was the Le Fort procedure, either alone or combined with TVT placement. Le Fort procedure was indicated by the patient's age, contraindications to other surgical procedures and absence of sexual activity. Objective criteria of cure and subjective criteria were studied with assessment of the repercussions of treatment on quality of life by appropriate questionnaires.

RESULTS: The Le Fort procedure gave excellent long-term results with low morbidity. It could be combined with TVT placement without altering the results. No recurrence of genitourinary prolapse was observed during follow-up. The patient satisfaction index was close to 90%.

CONCLUSION: The Le Fort procedure should be performed in selected cases when conventional surgery can no longer achieve a satisfactory result. It can also be combined with treatment of stress urinary incontinence.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты