✦ Pelvic Organ Prolapse Treatment

Colpocleisis (Le Fort's)

Q: Will I be able to have intercourse after colpocleisis?

No — colpocleisis permanently obliterates the vaginal canal; it is therefore only suitable for women who are no longer sexually active.

Q: Can colpocleisis be reversed?

Reversal is theoretically possible but rarely performed and technically challenging; the decision should be made carefully after full counselling.

Q: Is cervical cancer screening still needed after colpocleisis?

Yes — the uterus and cervix are preserved (unless hysterectomy is performed simultaneously); cervical screening should continue. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Vaginal Obliteration Procedure for Prolapse in Non-Sexually Active Women

45–60 min PROCEDURE

1–2 Days HOSPITAL STAY

>95% SUCCESS RATE

2–4 Weeks RECOVERY

What is Colpocleisis (Le Fort's)?

Le Fort's Colpocleisis is a vaginal obliteration procedure for complete uterovaginal prolapse in elderly women who are no longer sexually active. Strips of vaginal epithelium are excised from the anterior and posterior vaginal walls, and the denuded surfaces are sutured together, obliterating the vaginal canal and supporting the prolapsed organs. It is the most effective vaginal prolapse repair in terms of symptom resolution, and is particularly suitable for frail elderly patients due to its short operative time. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days.

Elderly women with complete uterovaginal prolapse who are no longer sexually active and prefer the simplest, most effective surgical option. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Tissue Resection

Anterior and posterior vaginal wall epithelial strips marked and excised.

Repair & Closure

Denuded anterior and posterior surfaces approximated with interrupted sutures.

Vaginal Canal Obliteration

Vaginal canal progressively obliterated from the introitus inward.

Drainage Channels

Lateral drainage channels maintained to allow cervical and uterine secretions to drain.

Perineorrhaphy

Perineorrhaphy and levatorplasty performed to support the introitus.

Outcomes

45–60 minDURATION

1–2 DaysHOSPITAL STAY

>95%SUCCESS RATE

2–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Highest subjective satisfaction rate of any prolapse operation (>95%).
→Shortest operative time — particularly suited for frail elderly patients.
→Avoids need for synthetic mesh or abdominal surgery.
→Rapid recovery with minimal post-operative pain.
→Eliminates prolapse symptoms completely in virtually all patients.
→Can be performed under spinal or regional anaesthesia for highest-risk patients.

"Le Fort's colpocleisis achieves what no other prolapse operation can match — a 95%+ cure rate in a 45-minute procedure suitable for the frailest patient. For the right woman, it is simply the best operation available."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Will I be able to have intercourse after colpocleisis?+

Can colpocleisis be reversed?+

Is cervical cancer screening still needed after colpocleisis?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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