GENERAL GYNECOLOGY Modified LeFort colpocleisis: clinical outcome and patient satisfaction Christl Reisenauer • Ernst Oberlechner • Birgitt Schoenfisch • Diethelm Wallwiener • Markus Huebner Received: 20 December 2012 / Accepted: 17 June 2013 Ó Springer-Verlag Berlin Heidelberg 2013 Abstract Objectives The purpose of this study was to determine the anatomical and functional outcomes, as well as patients’ satisfaction and morbidity associated with modi- fied LeFort colpocleisis. Study design Between 7/2007 and 6/2011 58 patients underwent a modified LeFort colpocleisis. Thirty-eight were available for follow-up visit. Records were reviewed for patients’ characteristics, operative data and incidence of complications. The follow-up visit comprised a med- ical history and a gynecological examination. A visual- analog-scale to assess patients’ quality of life after sur- gery was used. The patients were asked: ‘‘Would you again choose to have this surgery performed?’’ and ‘‘Do you regret choosing to have a vaginal closure proce- dure?’’ Statistical analysis was performed using R version 2.12.1, R Foundation for Statistical Computing, Vienna, Austria. Results There were no treatment failures within a mean follow-up of 14 months (range 3–41 months). 89 % of patients reported an improved quality of life postopera- tively. No complications occurred intraoperatively and none of the patients regretted the loss of sexual function. All patients stated that they would choose to have the colpocleisis procedure again. Postoperatively 8 urinary tract infections, 2 hematomas and 1 pyometra occurred. Two patients complained about stress urinary incontinence and another one about an overactive bladder. Conclusion The study highlights an additional safe and effective option for an individualized treatment of pelvic organ prolapse. Keywords Modified LeFort colpcleisis Á Pelvic floor reconstructive surgery Á Pelvic organ prolapse Introduction Colpocleisis is recognized as a highly successful surgical procedure for pelvic organ prolapse in elderly patients who no longer desire preservation of coital function. A literature review reported a success rate for the LeFort colpocleisis between 75 and 100 % with follow-up intervals ranging from 3 months to 30 years [1]. In our clinical practice we faced the question of what to do if a LeFort colpocleisis had failed and a recurrent vaginal eversion occurred. Using a modified re-colpocleisis technique we successfully treated a recurrent POPQ Stage IV posthysterectomy vaginal prolapse in an 89-year-old woman after several prolapse surgeries including a colpo- cleisis as published previously [2]. The purpose of this study was to determine the ana- tomical and functional outcome, report patients’ satisfac- tion and describe the morbidity associated with the modified LeFort colpocleisis technique performed in a specific group of patients who did not have had a colpo- cleisis procedure performed previously. Materials and methods Between 7/2007 and 6/2011 58 consecutive patients underwent a modified LeFort colpocleisis procedure. All C. Reisenauer (&) Á E. Oberlechner Á B. Schoenfisch Á D. Wallwiener Á M. Huebner Department of Obstetrics and Gynecology, University Hospital Tuebingen, Calwerstrasse 7, 72076 Tuebingen, Germany e-mail: christl.reisenauer@med.uni-tuebingen.de 123 Arch Gynecol Obstet DOI 10.1007/s00404-013-2930-9