STUDY OBJECTIVE: To describe the technique, complications, and outcomes of vaginal repair of concomitant advanced uterine and vaginal prolapse and stress @entity322 using colpocleisis and tension-free @entity365 under intravenous sedation and local anesthesia in elderly and/or medically compromised @entity1 . DESIGN: Retrospective analysis (Canadian Task Force classification III). SETTING: Large tertiary care hospital with university affiliation. @entity1 : Thirty consecutive @entity1 . INTERVENTION: Colpocleisis and @entity365 . MEASUREMENTS AND MAIN RESULTS: Data were obtained by retrospective chart review of office and surgical records and follow-up physical examinations. All 30 @entity1 had the procedure completed without general anesthesia. Mean estimated @entity190 was 56 ml (range 10-150 ml), mean operating time 97.3 minutes (range 65-135 min), and mean hospital stay 1.62 days (range 1-12 days). No @entity3816 occurred, although one @entity1 experienced a @entity583 . Average follow-up was 19.1 months. Three @entity1 required reoperation for minor prolapse (2 posterior repairs, 1 anteroposterior repair) and 94% were cured of @entity3142 . CONCLUSION: Preliminary data suggest that surgical correction of concomitant severe pelvic organ relaxation and stress @entity322 using a proved procedure (pubovaginal sling) coupled with colpocliesis can be performed rapidly and safely with local anesthesia and mild sedation, thus limiting the potential risks of general anesthesia and more invasive surgical procedures.

Colpocleisis and tension-free vaginal tape sling for severe uterine and vaginal prolapse and stress XXXX under local anesthesia.

@entity1 :: ('9606', 'Species') :: ['women', 'woman', 'patients', 'PATIENTS'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity583 :: ('MESH:D009203', 'Disease') :: ['postoperative myocardial infarction'] @entity3142 :: ('MESH:D014550', 'Disease') :: ['stress incontinence'] @entity365 :: ('MESH:D014627', 'Disease') :: ['TVT-pubovaginal sling', 'vaginal tape (TVT) and pubovaginal sling'] @entity3816 :: ('MESH:D007431', 'Disease') :: ['intraoperative complications']
@entity322 :: (MESH:D014549,Disease) :: ['urinary incontinence']
