DEAR DR. GOTT: I was just scanning my local newspaper when I saw your reply to the septuagenarian with vaginal prolapse. She should be advised to consider a LeFort colpocleisis, i.e, obliteration of the vaginal tube. As a surgeon, I have done these often in women with medical problems that may make general anesthesia risky. It can be done under local anesthesia with some sedation and has a very easy recovery. It’s an underutilized “old school” solution today.
DEAR DOCTOR: LeFort colpocleisis is commonly used for women who do not wish to be sexually active in the future and for those who want the least invasive surgical procedure known to combat the symptoms of uterine prolapse. It is also recommended for elderly women when general anesthesia is contraindicated. As you point out, it can be performed quickly under regional anesthesia, with minimal post-operative complications.
Thank you for bringing this to my attention. It was something I failed to mention in my original answer. Keep up the good scrutiny; it keeps me on my toes.
