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WASHINGTON -- For a carefully chosen group of patients, total vaginectomy with sling urethropexy may be a good option for the treatment of severe pelvic organ prolapse.
That conclusion was based on a retrospective, observational study of 18 white women, aged 58-91 years (median age 77 years) with stage IV pelvic organ prolapse.
The women were not sexually active and were willing to forego coital function. They had either failed or refused pessary treatment, and the average duration of their prolapse symptoms was 61 months, reported Lori Hubbard, M.D., and her colleagues in a poster presentation at the annual meeting of District VII of the American College of Obstetricians and Gynecologists.
After undergoing a vaginectomy and then a colpocleisis with sling ...