SynthesisInternational urogynecology journal2017
Enlightening the mechanisms of POP recurrence after LeFort colpocleisis. Case report and review.
Synthesis in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed.
- Pyometra-An Atypical Complication Following LeFort Colpocleisis: Narrative Review.International urogynecology journal · 2026Review
- The "Repeat Colpocleisis": A Literature Review and Case Report.International urogynecology journal · 2024Review
- Teaching the art of LeFort colpocleisis: a moderate-fidelity, low-cost simulation model.International urogynecology journal · 2021Article
- Modified Lefort partial colpocleisis.International urogynecology journal · 2021Article
- Colpocleisis with a skin flap.International urogynecology journal · 2020Article
- LeFort colpocleisis for recurrent pelvic organ prolapse.International urogynecology journal · 2020Article
- The underutilization of obliterative and constrictive surgery in the surgical treatment of pelvic organ prolapse.International urogynecology journal · 2019Article
- LeFort Colpocleisis: Unmet Expectations about Correction of Urinary Symptoms Are Related to Disappointment and Regret.Journal of mid-life healthArticle
- Le Fort Partial Colpocleisis: A Low-Cost Model.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisObliterative procedures for the treatment of pelvic organ prolapse have been reported to have a recurrence rate up to 10%. We present (1) a case report of a patient with prolapse after LeFort colpocleisis and how it was managed in our department, and (2) a review of the literature regarding the types of recurrence after LeFort colpocleisis, their rate and their treatment.
methodsA 77-year-old woman was treated in our department for recurrence of prolapse through the right lateral channel 6 months after LeFort colpocleisis. A systematic review of the literature up to 2016 was performed through MEDLINE, Web of Science and the Cochrane Library.
resultsThe patient underwent a modified repeat colpocleisis and 6 months later was doing well with no signs of recurrence. We found 28 eligible studies including 1,810 patients, and the rate of recurrence after LeFort colpocleisis was 4.2% (76/1,810) leaving the majority of patients very satisfied. Information about the management of recurrence of prolapse after LeFort colpocleisis was provided in 17 studies including 33 patients with a 60-month follow-up. It appears that there are three major categories of recurrent prolapse after LeFort partial colpocleisis: (1) patients with a total breakdown of colpocleisis (57.6%), (2) patients with "channel prolapse" (15.2%), and (3) patients with prolapse at sites not involved in the primary partial colpocleisis (27.3%). The most frequent treatments were total colpocleisis/colpectomy (27.3%), perineorrhaphy and posterior repair (9.1%) and hysterectomy (9.1%). Almost 50% of these patients opted not to have surgical treatment.
conclusionsThe rate of prolapse recurrence after LeFort colpocleisis is estimated to be 4.2%. The management of recurrences after LeFort colpocleisis depends on the time and type of recurrence. The repeat modified LeFort colpocleisis is a viable option in patients with channel prolapse; if no uterus exists, colpectomy appears to be the best option.
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