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Site-specific colpocleisis called superior approach.(Gynecology)
ST. LOUIS -- A unique approach to colpocleisis has been developed that incorporates vaginal repair of paravaginal defects, apposition of the pubocervical and rectovaginal septa, and minimal anatomical distortion.
"There is a place for this in your practice, and it is not hopelessly complicated," Carl W. Zimmerman, M.D., said at the 14th International Pelvic Reconstructive and Vaginal Surgery Conference.
"We're relying on native endopelvic connective tissue to close the urogenital hiatus, which is unique in colpocleisis techniques," said Dr. Zimmerman, professor of obstetrics and gynecology at Vanderbilt University, Nashville, Tenn.
The use of colpocleisis to correct advanced prolapse is certainly not for every woman, he stressed, since it permanently closes the vagina and therefore prevents coitus.
"This operation is not an option for the 11% of women with primary pelvic floor defects, or even for the 30% of patients who need a second corrective surgery. This is for the small percentage of physically active and relatively healthy individuals who have multiple recurrences or massive prolapse profoundly eroding their quality of life," he said at the conference, sponsored by the Society of Pelvic Reconstructive Surgeons and Emory University.
Traditional colpocleisis closes the urogenital hiatus without specifically identifying the ...
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...voluntary activity of the levator ani muscles narrows the urogenital hiatus and draws the urethra, vagina, and rectum toward the...for prolapse. (7) As muscular support is lost, the urogenital hiatus widens and connective tissue support, under tension...
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Source: HighBeam Research, Site-specific colpocleisis called superior approach.(Gynecology)