Case Report: Treatment of a Relapsed Total Pelvic Organ Prolapse in an Elderly Patient with Significant Systemic Disease

Pelvic Organ Prolapse (POP) is a common disease that causes serious morbidity. Surgical treatments of POP include both vaginal and abdominal techniques, which are usually performed under general aneshtesia. Nevertheless, regional anesthesia can be considered in high-risk patients. We present the case of an 81-yearsold women with significant comorbidities presenting with a relapsed stage IV POP. After a multidisciplinary assessment a Le Fort colpocleisis under spinal anesthesia was performed. The follow-up visits at three and twelve months were regular, and the patient referred a significant improvement in quality of life. In conclusion, colpocleisis under regional anesthesia should be considered as a viable option in cases of pelvic organ prolapse in patients in which vaginal surgery has already failed or in those with multiple comorbidities.