Colpocleisis: A safe, minimally invasive option for pelvic organ prolapse

Margaret G. Mueller, Chandy Ellimootil, Melinda G. Abernethy, Elizabeth R. Mueller*, Samuel Hohmann, Kimberly Kenton

*Corresponding author for this work

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

Objective: This study aimed to describe the morbidity and mortality associated with colpocleisis and factors associated with improved outcomes. Methods: We used University HealthSystem Consortium database, which included inpatient data from US hospitals. We included all women who underwent colpocleisis from 2002 to 2012. Centers were categorized geographically and by annual case volume. Cases were grouped by age and provider specialty. Outcome and readmission data from participating hospitals were compared between groups by analysis of variance and Tukey statistics. Average length of stay (LOS), intensive care unit (ICU) admission rate, complication rate, mortality rate, and readmission rate were calculated for each hospital and compared. Results: Colpocleisis procedures (4776) were performed at 145 US medical centers. Forty-three percent of procedures were done on women older than 80 years, 52% on women 60 to 79 years, 3% on women 40 to 59 years, and 0.9% on women 20 to 39 years. Overall, rates of complications, ICU admission, and mortality were low with average rates of 6.82%, 2.80%, and 0.15%, respectively. High-volume centers had lower ICU admission and complications rates as well as a shorter LOS. Younger women had higher ICU admission and complication rates as well longer LOS. Stratification by provider specialty demonstrated higher ICU admission rates among cases performed by urologists as compared to cases performed by urogynecologists and general obstetrician-gynecologists. Complication rates were also higher among obstetrician-gynecologists and urologists as compared to urogynecologists. Length of stay was significantly longer when colpocleisis was performed by urologists rather than a urogynecologists. Conclusions: Colpocleisis is a safe minimally invasive procedure and outcomes are influenced by provider specialty and hospital volume.

Original languageEnglish (US)
Pages (from-to)30-33
Number of pages4
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume21
Issue number1
DOIs
StatePublished - Jan 1 2015

Keywords

  • Colpocleisis
  • Pelvic organ prolapse
  • Surgical outcomes
  • Urogynecology

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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