Colpocleisis

Colpocleisis is a surgical approach that corrects pelvic organ prolapse by bringing the muscles of the vaginal walls together and therefore, significantly shortening or closing the vaginal canal. Women who are candidates for this type of procedure typically have very large prolapse that extends outside of the vaginal canal. This is an effective way to reduce the bulge of the bladder, rectum, and uterus  (if present).  This approach is reserved for patients who do not want a reconstructive surgery and/or are not candidates for a more extensive surgery.  The success rates are high and the recovery is typically quicker and less painful than some other approaches.  It is important to note that this procedure does permanently prevent the patient from being able to engage in penetrative vaginal intercourse as the vaginal canal itself is significantly shortened.  This procedure does not affect clitoral sensation nor does it change the external appearance of the vagina. This allows the patient to maintain sexual function, if desired.  
 
There are two types of colpocleisis procedures: 
 
“Le Fort Colpocleisis” 
This is approach narrows and shortens the vagina to reduce pelvic organ prolapse while keeping the uterus in place.  The benefit from this approach is that the uterus is left in place and incorporated into the repair, which avoids risks associated with a hysterectomy.  Women may not be candidates for the Le Fort if they are at increased risk of abnormal uterine and/or cervical conditions.  Screening is done prior to the procedure to ensure that patients are appropriate candidates. 

 “Total Colpocelsis”
This approach is used for women undergoing a concomitant hysterectomy or for women who have previously had a hysterectomy.  This approach removes the majority of the vaginal tissue and closes the vaginal canal. 
 
With either method, most women stay in the hospital for one or two nights. Women are typically able to return to their normal routine at around 2 weeks post op and are considered fully healed by 12 weeks.  The best surgical approach to surgically address pelvic organ prolapse is based on the individual’s history, desired outcomes, and physical exam.

To get a better visual understanding of Colpocleisis and the remedies mentioned, check out these diagrams and breakdowns courtesy of Your Pelvic Floor.

 If you feel as though you are struggling with prolapse symptoms, contact us today.