PFD Week 2017-Deconstruction of Colpocleisis and Vaginal Resuspension

Deconstruction of Colpocleisis and Vaginal Resuspension

Video Transcription

Video Summary

The video discusses the case of a 62-year-old woman who previously underwent a procedure called culpoclysis to treat uterovaginal prolapse. However, she presented with symptomatic rectocele and desired prolapse repair and restoration of vaginal patency for intercourse. The video shows the examination of the patient, MRI images, and surgical steps taken to address the issues. The surgical plan involved connecting the bilateral vaginal tunnels to reveal the cervix and restore vaginal length. After takedown of the culpoclysis scarring, vaginal hysterectomy, and prolapse repair, the patient's vaginal patency and support were successfully restored. It emphasizes the importance of careful counseling prior to the culpoclysis procedure.

Asset Subtitle

Emily English, MD

Keywords

62-year-old woman

culpoclysis

uterovaginal prolapse

rectocele

surgical steps