Advantages of the modified colpocleisis operation in patients with atypical types of pelvic organ prolapse

Background: Currently, there is no general universal unified surgical treatment strategy for patients with pelvic organ prolapse. Considering the risks of installing mesh implants and the increasing incidence of implant-associated complications, mesh-free pelvic floor surgery techniques have become relevant again. A method was developed and introduced into clinical practice, which is an electrosurgical vaginal hysterectomy followed by vaginal suturing using a modified colpocleesis operation, which allows combining all the advantages of this method and at the same time minimizing the risks of cancer in the future. Aim: The aim of this study was to improve the results of surgical treatment in patients with rare, complicated and recurrent forms of pelvic organ prolapse. Materials and methods: This study included 140 patients diagnosed with pelvic organ prolapse. The main group consisted of 70 individuals with rare, severe and complicated cases of genital prolapse, who underwent surgical treatment using our modified colpocleisis operation. The control group comprised 70 other individuals with newly diagnosed uncomplicated cases of pelvic organ prolapse, who underwent surgical treatment using mesh implants. Results: All patients underwent planned surgical treatment. The operated patients were monitored for 1–5 years. In the main group, the effectiveness of the operation was 100%, while the effectiveness of surgical treatment with a mesh implant in the control group was 95.7%. All patients in the main group had complete tissue healing. There were no cases of long-term complications or relapses in any of the patients. Conclusions: the use of the modified colpocleisis operation for atypical types of pelvic organ prolapse is a highly effective method of prolapse correction. This, in combination with a simple execution technique, allows it for being offered as a basic method for vaginal access in patients without sexual activity.