Colpocleisis

What is a Colpocleisis (kol po-kli sis)?

A colpocleisis is a surgery that partially or completely closes your vagina and its opening. This procedure is also known as a colpectomy or vaginal closure surgery and if your vagina is only partially closed, it may be called a Lefort colpocleisis. You and your surgeon will choose which option is best for you and will depend on your health history. For example, if your uterus has been removed or not (hysterectomy). 
Most often, this surgery is done to help with pelvic organ prolapse or weak pelvic muscles. This is when your vagina, uterus, bladder, rectum, or intestines lose strength and drop from the position they are supposed to be in. In some cases, the organs may even fall outside the opening of your vagina.  
Colpocleisis may be offered to women who have pelvic organ prolapse and:

  • No longer have their menstrual cycle or period.

  • No longer planning to or able to have vaginal intercourse. 

  • May have health conditions that make other types of organ prolapse repair surgeries too risky for them. 
 

What Happens During a Colpocleisis?

The surgery is done in an operating room. You will receive medicine to keep you comfortable. If needed, your surgeon will put the prolapsed organs back into proper position through your vagina. Typically, an incision (cut) will be made at the top and bottom of your vagina and the vaginal surface tissue will be removed. The vaginal walls are then closed from top to bottom with sutures that dissolve over time. Finally, the opening of the vagina is then closed and will keep your organs from prolapsing again. In most cases, the sutures used in this procedure do not need to be removed. This surgery may vary at different hospitals or with different surgeons.  

Getting Ready for Surgery

A few days before your surgery you will be called and given detailed instructions on your surgery. This includes information on eating, drinking, and reviewing your home medication list.  

After Surgery

  • It is common to have soreness and pain in the area. 

  • You may be given medications to take after your procedure such as pain medication or antibiotics. It is important to take all your antibiotics even if you are feeling better.

  • You will be given instructions on how to care for yourself and when you need to call your surgeon. 

  • Keep all scheduled follow-up appointments. This helps your surgeon and healthcare team give you the best care possible.   

Created: 07/2024