Mickey Karram, MD Dr. Janelle Evans, MD Dr. Very elderly age, comorbidity, and disinterest in maintaining sexual function make a woman an ideal candidate for having POP corrected by surgery to close the vaginal canal, detailed here. This article, with accompanying video footage, is presented with the support of the International Academy of Pelvic Surgery. As women live longer, on average, pelvic floor disorders are, as a whole, becoming more prevalent and a greater health and social problem. Many women entering the eighth and ninth decades of life display symptomatic pelvic organ prolapse POP —often after an unsuccessful trial of a pessary or even surgery. These elderly patients often have other concomitant medical issues and are not sexually active, making extensive surgery for them less than an ideal solution. Instead, surgical procedures that obliterate the vaginal canal can alleviate their symptoms of POP. An obliterative procedure in the form of a LeFort partial colpocleisis is an option when a patient 1 has her uterus and 2 is no longer sexually active.
Canal Kelly Key
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