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

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.