Body image, regret, and satisfaction following colpocleisis

Crisp, Catrina C.; Book, Nicole M.; Smith, Aimee L.; Cunkelman, Jacqueline A.; Mishan, Vivian; Treszezamsky, Alejandro D.; Adams, Sonia R.; Apostolis, Costas; Löwenstein, Lior; Pauls, Rachel N.

doi:10.1016/j.ajog.2013.05.019

Cited by 45 publications

(25 citation statements)

References 20 publications

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“…Colpocleisis can reduce the pelvic viscera by surgically closing a portion of the vaginal canal. Colpocleisis is associated with a high success rate, high patient satisfaction and low complication rate . However, colpocleisis precluded future cervical or endometrial evaluation, and ignored sexual ideation in older women.…”

Section: Discussionmentioning

confidence: 99%

Effect of pelvic floor dysfunction on sexual function and quality of life in Chinese women of different ages: An observational study

Zhu

Shu

Dai

2019

Geriatrics Gerontology Int

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Aim The aim of the present study was to investigate the effect of female pelvic floor dysfunction on sexual function and quality of life among different age groups. Methods An observational study was carried out on 648 patients with pelvic organ prolapse (POP) or/and stress urinary incontinence. We assessed female sexual function and quality of life through the Prolapse/Urinary Incontinence Sexual Questionnaire Short Form and Incontinence Quality of Life Scale before surgeries, respectively. Patients were assigned into different age groups. Results The mean age of all patients was 62.04 ± 9.39 years. A total of 436 patients had POP, 120 patients had stress urinary incontinence and the remaining patients had both. Although sexual frequency decreased with increasing age, 517 patients still remained sexually active. A total of 10.83% of the patients aged ≥70 years were still sexually active, and 8.51% of them had sex less than one time per month. The Prolapse/Urinary Incontinence Sexual Questionnaire Short Form score and sexual frequency decreased with increasing age. However, the Incontinence Quality of Life Scale score increased with increasing age. Patients with only POP and aged ≥70 years showed a higher Incontinence Quality of Life Scale score (P < 0.001). Conclusions The present study showed that POP and stress urinary incontinence are common among older Chinese women, and re associated with decreased sexual satisfaction and quality of life in China. It suggests that the existing sexual requirement of these patients should also be reconsidered before surgical assessment. Doctors should take sexual satisfaction into consideration when choosing a personalized type of surgery to improve the patients’ quality of life physiologically and psychologically. Geriatr Gerontol Int 2019; 19: 299–304.

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Section: Discussionmentioning

confidence: 99%

Effect of pelvic floor dysfunction on sexual function and quality of life in Chinese women of different ages: An observational study

Zhu

Shu

Dai

2019

Geriatrics Gerontology Int

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“…Crisp et al wrote that mean operative time was 99 min and intraoperative bleeding was 100 ml, which contained both total colpocleisis (colpectomy) and partial colpocleisis. This was accompanied by concurrent operations such as perineoplasty (83.1%) and hysterectomy (10.8%) [7]. Hill et al reported that mean operative time of colpectomy without concurrent hysterectomy was 108 min and intraoperative bleeding was 135 ml [8].…”

Section: Discussionmentioning

confidence: 99%

Razor-type dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis

Kato

Hayashi²,

Adachi³

et al. 2019

Int Urogynecol J

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Introduction and hypothesis Although colpocleisis is a low-invasive surgical option to treat pelvic organ prolapse, it sometimes involves a long operative time with substantial bleeding. To streamline the vaginal dissection process in colpoclesis, we introduced the usage of dermatomes. Methods All patients were sexually inactive women with post-hysterectomy prolapse. Data of the dermatome group were retrospectively compared with those of the historical control group based on operative features, perioperative complications and pathology of dissected tissue. In the dermatome group, 34 women underwent total colpocleisis with vaginal dissection using dermatomes; 4 were done mainly with electric dermatomes, and 30 were done with razor-type dermatomes. In the control group, 20 women underwent total colpocleisis with vaginal dissection using Metzenbaum scissors. Results Using dermatomes in vaginal dissection was helpful to shorten total operative time (including perineoplasty) by one third from 76 to 51 min, to shorten the time of colpocleisis by half, from 62 to 32 min, and to reduce intraoperative bleeding by 76%, from 62 to 15 ml. In addition, none in the dermatome group and 2/20 patients in the control group had unintended peritoneal opening. Dissection with scissors removed not only the epithelium and submucosal layer but also the muscle layer. This was minimized with razor-type dermatomes and never occurred with electric dermatomes. Whereas electric dermatomes are difficult to get accustomed to and are expensive, razor-type dermatomes enable thinner dissection compared with scissors, are easy to handle and are inexpensive. Conclusions Razor-type dermatomes enable quick and thin vaginal dissection with less bleeding. Therefore, they can be recommended as a practical tool for colpocleisis, a prolapse operation mainly for frail elderly patients.

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“…In this situation, it is important to again highlight that for non-sexually active women, obliterative surgeries may offer the best durability,25 and are associated with very high postoperative satisfaction and quality of life 34,35. However, for the numerous women who wish to remain sexually active, reconstructive surgeries should be offered.…”

Section: Apical Compartment Defectsmentioning

confidence: 99%

Clinical challenges in the management of vaginal prolapse

Siddiqui¹,

Edenfield²

2014

IJWH

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Pelvic organ prolapse is highly prevalent, and negatively affects a woman’s quality of life. Women with bothersome prolapse may be offered pessary management or may choose to undergo corrective surgery. In choosing the most appropriate surgical procedure, there are many factors to consider. These may include the location(s) of anatomic defects, the severity of prolapse symptoms, the activity level of the woman, and concerns regarding the durability of the repair. In many instances, women and their surgeons are challenged to weigh the risks and benefits of native tissue versus mesh-augmented repairs. Though mesh-augmented repairs may offer better durability, they are also associated with unique complications, such as mesh erosion. Furthermore, newer surgical techniques of mesh placement via abdominal or vaginal routes may result in different outcomes compared to traditional techniques. Biologic grafts may also be considered to improve durability of a surgical repair, while avoiding potential complications of synthetic mesh. In this article, we review many of the clinical challenges that gynecologic surgeons face in the surgical management of vaginal prolapse. Furthermore, we review data that can help guide decision making when treating women with pelvic organ prolapse.

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Body image, regret, and satisfaction following colpocleisis

Cited by 45 publications

References 20 publications

Effect of pelvic floor dysfunction on sexual function and quality of life in Chinese women of different ages: An observational study

Effect of pelvic floor dysfunction on sexual function and quality of life in Chinese women of different ages: An observational study

Razor-type dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis

Clinical challenges in the management of vaginal prolapse

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