Rouhier’s colpocleisis with concomitant vaginal hysterectomy: an instructive video for female pelvic surgeons View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-10-08

AUTHORS

Florin Constantin, Nikolaus Veit-Rubin, Lauriane Ramyead, Jean Dubuisson

ABSTRACT

Introduction and hypothesisThe treatment of pelvic organ prolapse (POP) in elderly women can be challenging. The vaginal operation known as colpocleisis, the total occlusion of the urogenital hiatus, with concomitant hysterectomy was described by Rouhier and represents a safe, time-saving, and reproducible procedure in the case of POP associated with uterine pathological conditions. It is suitable for elderly women who do not require preservation of coital function. The objective of this video is to provide anatomical illustrations and a precise description of the surgical steps.MethodsWe present the case of a 62-year-old woman who was referred for hysterectomy in the context of metastatic endometrial cancer. She complained about vaginal bulge and was diagnosed with a POP-Q stage 4 genital prolapse on physical examination. Due to important comorbidities such as arterial hypertension, obesity, and three-site metastatic disease, we suggested a colpocleisis with concomitant vaginal hysterectomy. This approach was intended to treat the prolapse and perform a palliative surgery to alleviate abnormal uterine bleeding.ResultsThis video illustrates the different surgical steps of a colpohysterectomy according to Rouhier. No intraoperative complications occurred and the postoperative follow-up was uneventful. The patient was fully satisfied and POP has not recurred after a 17-month follow-up.ConclusionsColpocleisis should remain an exceptional approach, but could be offered to sexually inactive women of advanced age after thorough discussion and patient consent. If a hysterectomy is necessary, Rouhier’s operation offers a time-saving, reproducible, and efficient option for women with symptomatic POP who do not desire future vaginal intercourse. More... »

PAGES

495-497

References to SciGraph publications

  • 2005-06-28. Colpocleisis: a review in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00192-018-3765-5

    DOI

    http://dx.doi.org/10.1007/s00192-018-3765-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1107476106

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30298205


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