AI Article Synopsis
- The aging population, especially women over 65, is increasing the need for treatments like colpocleisis for pelvic organ prolapse, especially in those who do not want sexual function.
- Colpocleisis offers benefits such as shorter surgery time, fewer complications, and the possibility of local anesthesia.
- In a case report, a 95-year-old woman faced serious complications after colpocleisis, highlighting the importance of preoperative evaluations to potentially reduce risks like pyometra and its associated complications.
Article Abstract
As the number of women more than the age 65 increases, so will the need for treatment of pelvic organ prolapse and the comorbidities that come with surgical treatment of an aging population gain significance. Colpocleisis is an option for women failing or refusing conservative prolapse management and not desiring sexual function. The advantages of colpocleisis are decreased operative time, low complication rate, and ability to use local or regional anesthesia. We report a case of a 95-year-old woman whose procidentia was treated with colpocleisis. Endometrial evaluation with dilation and curettage was performed at the time of colpocleisis. Postoperative course was complicated by pyometra necessitating total abdominal hysterectomy and bilateral salpingoopherectomy, leading to further complications including deep vein thrombosis, anemia, atrial fibrillation, and pleural effusions. Preoperative versus intraoperative endometrial evaluation may decrease the risk of developing pyometra after colpocleisis and, therefore, diminish the possibility of multiple complications.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00192-006-0285-5 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Prices for veterinary care of dogs, cats and horses in selected countries in Europe.
Front Vet Sci
July 2024
Brenda N Bonnett, B Bonnett Consulting, Georgian Bluffs, ON, Canada.
Introduction: In recent years, prices for veterinary care have received considerable attention in mainstream media, yet scientific literature has not delved into actual figures. This study aims to elucidate veterinary care costs for dogs, cats, and horses across five countries [Sweden (SE), Norway (NO), Denmark (DK), United Kingdom (UK), and Ireland (IR, with limited data)] through web searches.
Methods: Utilising online business directories, we located URLs featuring veterinary care prices in autumn 2022, and repeated tri-monthly five times.
Recurrent obstructive uropathy secondary to pyometrocolpos in an 8-month-old infant: a case report.
J Med Case Rep
December 2020
Department of Obstetrics and Gynecology, Bugando Medical Centre, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Background: Pyometrocolpos is accumulation of infected fluid in the uterus and vagina. It is rare in children, mostly seen after menarche as a result of obstructive congenital genital malformation that impairs free drainage of the uterine secretions. In a child, it may present as an acute illness that necessitates urgent and appropriate management and treatment of the underlying cause, which can be a challenge in a resource-limited setting.
View Article and Find Full Text PDFEvaluation of laparoscopic-assisted ovariohysterectomy for treatment of canine pyometra.
Vet Surg
June 2013
Department of Surgical and Radiological Sciences, University of California-Davis, Davis, CA 95616, USA.
Objective: To describe a technique for treating pyometra in dogs using a 3-portal laparoscopic-assisted ovariohysterectomy (LAOVH) and evaluate outcome.
Study Design: Retrospective case series.
Animals: Dogs (n = 12).
Pyometra after thermal endometrial ablation.
Obstet Gynecol
August 2007
Department of Obstetrics and Gynecology, University of Texas-Southwestern Medical Center, Dallas, Texas, USA.
Background: Pyometra is a rare but serious complication after thermal endometrial ablation.
Case: A 48-year-old woman with type 2 diabetes and a prosthetic mitral valve underwent a thermal endometrial ablation for abnormal uterine bleeding. She subsequently developed pyometra that induced sepsis and cervical necrosis necessitating hysterectomy.
Pyometra necessitating hysterectomy after colpocleisis in an extremely elderly patient.
Int Urogynecol J Pelvic Floor Dysfunct
September 2007
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, New York University School of Medicine, 462 First Avenue, 9E-2, New York, NY 10016, USA.
Article Synopsis
- The aging population, especially women over 65, is increasing the need for treatments like colpocleisis for pelvic organ prolapse, especially in those who do not want sexual function.
- Colpocleisis offers benefits such as shorter surgery time, fewer complications, and the possibility of local anesthesia.
- In a case report, a 95-year-old woman faced serious complications after colpocleisis, highlighting the importance of preoperative evaluations to potentially reduce risks like pyometra and its associated complications.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!