Colpocleisis is an underutilized procedure in combating advanced pelvic organ prolapse in non sexually active women [1]. Success rates range from 90 to 100% with high patient satisfaction rates [2].

We present an 81 year old female with a history of recurrent and symptomatic pelvic organ prolapse. Physical exam was remarkable for complete procidentia. Given the patient’s symptoms which interfered with her daily activities, non-surgical and surgical options were presented. Patient is not sexually active and is not interested in being sexually active in the future, leading her to choose colpocleisis as her surgical option.

The patient presented a favorable postoperative outcome. After one year of follow up, the patient's symptoms resolved.

LeFort colpocleisis is a favorable treatment option for recurrent pelvic organ prolapse. The procedure can be offered to non-sexually active patients especially those with other comorbidities due to high success and low complication rates. The addition of levatorplasty can give added support to prevent recurrent prolapse.

Bazi, Tony. (2019). The underutilization of obliterative and constrictive surgery in the surgical treatment of pelvic organ prolapse. International Urogynecology Journal. 30. 1-4. 10.1007/s00192-019-03994-x.
Fitzgerald MP, Richter HE, Bradley CS, Ye W, Visco AC, Cundiff GW, Zyczynski HM, Fine P, Weber AM. Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1603-9. doi: 10.1007/s00192-008-0696-6. Epub 2008 Aug 9. PubMed PMID: 18690402; PubMed Central PMCID: PMC3691385.