vaginal obstruction, safe and effective for pelvic organ prolapse in elderly women
May 22, 2025
Through a clinical study conducted over 20 years by Professor Lee Da-yong and Professor Lee Taek-sang of obstetrics and gynecology at Boramae Hospital in Seoul Metropolitan Government operated by Seoul National University Hospital, they demonstrated the effectiveness and safety of Le Fort partial colpoclosis in the treatment of severe pelvic organ prolapse in elderly women.
Pelvic organ exodus is a disease in which organs in the pelvis, such as the uterus, bladder, and rectum, escape from the vagina, and it is common in postmenopausal women. As life expectancy increases, the incidence of this disease continues to increase, and it is a disease that seriously affects the quality of life as it goes beyond simple physical discomfort to psychological effects such as vulva discomfort and decreased self-esteem.
Currently, treatments for pelvic organ prolapse include conservative treatments such as pesari insertion and surgical treatments. However, pesari requires constant placement of foreign substances in the vagina, and comes with a risk of infection and a regular burden of management. Surgical treatment can be solved more fundamentally, but it is often not easy to apply to patients with chronic diseases such as diabetes and high blood pressure due to anesthesia or surgical burden. As an alternative to overcome these limitations, 'nortic obstruction' has been proposed, but clinical data in Korea were very scarce.
Meanwhile, Professor Lee Taek-sang analyzed the surgical results of 81 patients who underwent vaginal obstruction over a total of 20 years from 2006 to 2025. According to the study, 86.4% of all patients were aged 70 years or older, and 85.2% had underlying diseases that could affect the outcome of surgery. Nevertheless, the correction rate of pelvic organ prolapse reached 96.3%, and there were only three cases of symptomatic recurrence. No cases of serious postoperative complications were observed, and patient satisfaction was very high, reaching 98.4%.
As this study is based on 20 years of cumulative experience conducted by a single surgeon, clinical reliability is also evaluated to be very high. In particular, it suggests practical applicability in the medical field in that it can be a safer and more effective treatment option for elderly female patients avoiding surgery.
Professor Lee Taek-sang said, "As a result of the steady growth of the elderly female population, they often hesitate to reveal them or do not receive proper treatment due to fear of surgery." "Surgical treatment by experienced practitioners shows high success rates and satisfaction without serious complications, so active counseling and treatment can help improve women's quality of life in old age."," he stressed.
This study is a rare case of long-term tracking of the effectiveness and safety of vaginal obstruction for pelvic organ prolapse in elderly women in Korea, and is expected to be used as important data for establishing treatment guidelines in the field in the future.
The study was recently published in the international journal 『Journal of Clinical Medicine』.
Pelvic organ exodus is a disease in which organs in the pelvis, such as the uterus, bladder, and rectum, escape from the vagina, and it is common in postmenopausal women. As life expectancy increases, the incidence of this disease continues to increase, and it is a disease that seriously affects the quality of life as it goes beyond simple physical discomfort to psychological effects such as vulva discomfort and decreased self-esteem.
Currently, treatments for pelvic organ prolapse include conservative treatments such as pesari insertion and surgical treatments. However, pesari requires constant placement of foreign substances in the vagina, and comes with a risk of infection and a regular burden of management. Surgical treatment can be solved more fundamentally, but it is often not easy to apply to patients with chronic diseases such as diabetes and high blood pressure due to anesthesia or surgical burden. As an alternative to overcome these limitations, 'nortic obstruction' has been proposed, but clinical data in Korea were very scarce.
Meanwhile, Professor Lee Taek-sang analyzed the surgical results of 81 patients who underwent vaginal obstruction over a total of 20 years from 2006 to 2025. According to the study, 86.4% of all patients were aged 70 years or older, and 85.2% had underlying diseases that could affect the outcome of surgery. Nevertheless, the correction rate of pelvic organ prolapse reached 96.3%, and there were only three cases of symptomatic recurrence. No cases of serious postoperative complications were observed, and patient satisfaction was very high, reaching 98.4%.
As this study is based on 20 years of cumulative experience conducted by a single surgeon, clinical reliability is also evaluated to be very high. In particular, it suggests practical applicability in the medical field in that it can be a safer and more effective treatment option for elderly female patients avoiding surgery.
Professor Lee Taek-sang said, "As a result of the steady growth of the elderly female population, they often hesitate to reveal them or do not receive proper treatment due to fear of surgery." "Surgical treatment by experienced practitioners shows high success rates and satisfaction without serious complications, so active counseling and treatment can help improve women's quality of life in old age."," he stressed.
This study is a rare case of long-term tracking of the effectiveness and safety of vaginal obstruction for pelvic organ prolapse in elderly women in Korea, and is expected to be used as important data for establishing treatment guidelines in the field in the future.
The study was recently published in the international journal 『Journal of Clinical Medicine』.
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This article was translated by Naver AI translator.
