Document Detail

Pyometra and recurrent prolapse after Le Fort colpocleisis.
MedLine Citation:
PMID:  17001456     Owner:  NLM     Status:  MEDLINE    
The Le Fort colpocleisis is a surgical option for advanced pelvic organ prolapse in elderly and infirm women who no longer desire coital function. It is thought that the creation of adequate lateral drainage channels will prevent the occurrence of a pyometra. The author describes the occurrence of a pyometra, despite adequate vaginal channels, necessitating hysterectomy. A 78-year-old woman presented with a 3-year history of purulent vaginal discharge that began shortly after an uncomplicated Le Fort colpocleisis. She also complained of recurrent symptomatic prolapse. Radiologic evaluation revealed a pyometra, which was confirmed at the time of laparotomy. At the time of hysterectomy, she benefitted from total colpocleisis, vaginectomy, and levator plication. The approach to recurrent prolapse after Le Fort colpocleisis is discussed. The occurrence of pyometra despite adequate drainage should affect how patients undergoing obliterative procedures for pelvic organ prolapse are counseled.
Ted M Roth
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-09-26
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  18     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-01     Completed Date:  2007-07-24     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  687-8     Citation Subset:  IM    
Women's Specialty Center, Central Maine Medical Center, 287 Main Street, Lewiston, ME 04240, USA.
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MeSH Terms
Postoperative Complications / etiology*
Suppuration / etiology
Uterine Diseases / etiology*
Uterine Prolapse / surgery*
Vagina / microbiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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