علاج القيلة المثانية لدى المرضى الذين يعانون من أمراض مصاحبة طبية هامة ولا يرغبون في الحفاظ على المهبل

References

• Obliterative procedures––which narrow, shorten, or completely close the vagina––are effective for the treatment of POP and should be considered a first-line surgical treatment for women with significant medical comorbidities who do not desire future vaginal intercourse or vaginal preservation.
• Common types of obliterative surgical repair of POP include a Le Fort-style partial colpocleisis and total colpectomy.
• With any obliterative procedure, a suburethral plication or midurethral sling and a perineorrhaphy often are recommended to decrease the risk of postoperative stress urinary incontinence and recurrent posterior vaginal wall prolapse.

DOI: 10.1097/AOG.0000000000003519