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Colpocleisis for Vaginal Prolapse

From the Pelvic Floor Articles List

Colpocleisis vaginal prolapseWhat is a colpocleisis and who should consider this procedure for prolapse?

A colpoclesisis is a surgical procedure to treat vaginal prolapse and can be done either before or after a hysterectomy. During the surgery, the anterior and posterior walls of the vagina are sewn together, preventing bulging of the vagina.

Though a colpoclesisis has a high success rate and can be done more quickly than vaginal reconstruction surgeries for prolapse, this surgery is not right for most women. Rather than restore the anatomy as reconstruction surgery does, this procedure closes off part of the vagina. As a result, following a colpoclesisis a woman will be unable to have vaginal intercourse.

In addition, the cervix and uterus cannot be monitored following a colpoclesisis. Therefore, if a woman has not had a hysterectomy, it is very important that she and her doctor thoroughly review her medical history and current medical situation to be sure there are no health concerns which could create a future risk.

Candidates for colpoclesisis include older women, those with medial conditions which will not allow for an extensive reconstruction surgery, those who have had repeated surgeries which have failed, or those who are not and will never be sexually active. They should also have no history of postmenopausal bleeding, all pap smears should be negative, and all results for any cervical or uterine biopsies should be negative.

Risks of a colpoclesisis include anesthesia or medication reactions, bleeding, infection, or blot clots. Recovery usually lasts from 4-6 weeks and will include lifting restrictions, time off work, and no strenuous activities.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

04-04-2014 - 07:40 PM


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