{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T04:46:38Z","timestamp":1771476398507,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100020206","name":"Health Commission of Shandong Province","doi-asserted-by":"crossref","award":["SQ20180052"],"award-info":[{"award-number":["SQ20180052"]}],"id":[{"id":"10.13039\/501100020206","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction and hypothesis<\/jats:title>\n                <jats:p>We present a surgical video that describes the technical considerations for performing a modified LeFort partial colpocleisis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Hydro-dissection with diluted pituitrin was performed before the creation of anterior and posterior mid-line incisions through which lateral flaps were created bilaterally to expose the bladder and rectum fascia. Several purse-string sutures were placed to push the bladder and rectum back to their normal positions and reinforce the fascia under the vaginal wall. After removing the excess part of the vaginal wall, the lateral margins were re-approximated to create lateral channels that were wide enough to fit one finger. Perineoplasty was then performed to reduce the length of the genital hiatus.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The procedure was performed in a 76-year-old woman with stage III vaginal vault prolapse (POP-Q C\u2009+\u20092), stage IV anterior prolapse (POP-Q Ba+5), stage II posterior prolapse (POP-Q Bp-1), and mild occult stress urinary incontinence. The patient recovered well postoperatively, without recurrent prolapse and\/or stress incontinence during 6\u00a0months of follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our modified technique used traditional suture methods to strengthen the bladder and rectum fascia, keeping most of the vaginal wall to create a solid longitudinal septum in the center of the vagina that supported the vaginal vault.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00192-020-04545-5","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T10:04:10Z","timestamp":1601546650000},"page":"1043-1045","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Modified Lefort partial colpocleisis"],"prefix":"10.1007","volume":"32","author":[{"given":"Hongtao","family":"Lv","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengnian","family":"Rong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,1]]},"reference":[{"key":"4545_CR1","doi-asserted-by":"publisher","first-page":"CD004014","DOI":"10.1002\/14651858.CD004014.pub5","volume":"4","author":"C Maher","year":"2013","unstructured":"Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013;4:CD004014. https:\/\/doi.org\/10.1002\/14651858.CD004014.pub5.","journal-title":"Cochrane Database Syst Rev"},{"key":"4545_CR2","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/j.maturitas.2018.02.004","volume":"110","author":"A Giannini","year":"2018","unstructured":"Giannini A, Russo E, Cano A, Chedraui P, Goulis DG, Lambrinoudaki I, et al. Current management of pelvic organ prolapse in aging women: EMAS clinical guide. Maturitas. 2018;110:118\u201323. https:\/\/doi.org\/10.1016\/j.maturitas.2018.02.004.","journal-title":"Maturitas"},{"issue":"7","key":"4545_CR3","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1007\/s00192-016-3236-9","volume":"28","author":"T Mikos","year":"2017","unstructured":"Mikos T, Chatzipanteli M, Grimbizis GF, Tarlatzis BC. Enlightening the mechanisms of POP recurrence after LeFort colpocleisis. Case report and review. Int Urogynecol J. 2017;28(7):971\u20138. https:\/\/doi.org\/10.1007\/s00192-016-3236-9.","journal-title":"Int Urogynecol J"},{"key":"4545_CR4","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.ijsu.2015.06.026","volume":"20","author":"H Krissi","year":"2015","unstructured":"Krissi H, Aviram A, Eitan R, From A, Wiznitzer A, Peled Y. Risk factors for recurrence after Le fort colpocleisis for severe pelvic organ prolapse in elderly women. Int J Surg (London, England). 2015;20:75\u20139. https:\/\/doi.org\/10.1016\/j.ijsu.2015.06.026.","journal-title":"Int J Surg (London, England)"},{"issue":"6","key":"4545_CR5","doi-asserted-by":"publisher","first-page":"1713","DOI":"10.1016\/S0002-9378(94)70346-9","volume":"170","author":"JO DeLancey","year":"1994","unstructured":"DeLancey JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol. 1994;170(6):1713\u201320. discussion 1720-1713.","journal-title":"Am J Obstet Gynecol"},{"issue":"7","key":"4545_CR6","doi-asserted-by":"publisher","first-page":"1029","DOI":"10.1007\/s00192-015-2924-1","volume":"27","author":"JM van der Ploeg","year":"2016","unstructured":"van der Ploeg JM, Oude Rengerink K, van der Steen A, van Leeuwen JH, van der Vaart CH, Roovers JP, et al. Vaginal prolapse repair with or without a midurethral sling in women with genital prolapse and occult stress urinary incontinence: a randomized trial. Int Urogynecol J. 2016;27(7):1029\u201338. https:\/\/doi.org\/10.1007\/s00192-015-2924-1.","journal-title":"Int Urogynecol J"},{"issue":"6","key":"4545_CR7","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/gme.0000000000000604","volume":"23","author":"X Song","year":"2016","unstructured":"Song X, Zhu L, Ding J, Xu T, Lang J. Long-term follow-up after LeFort colpocleisis: patient satisfaction, regret rate, and pelvic symptoms. Menopause (New York, NY). 2016;23(6):621\u20135. https:\/\/doi.org\/10.1097\/gme.0000000000000604.","journal-title":"Menopause (New York, NY)"}],"updated-by":[{"DOI":"10.1007\/s00192-021-04707-z","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000}}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-020-04545-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-020-04545-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-020-04545-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T01:35:07Z","timestamp":1633052107000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-020-04545-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["4545"],"URL":"https:\/\/doi.org\/10.1007\/s00192-020-04545-5","relation":{"correction":[{"id-type":"doi","id":"10.1007\/s00192-021-04707-z","asserted-by":"object"}]},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,1]]},"assertion":[{"value":"17 July 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 February 2021","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00192-021-04707-z","URL":"https:\/\/doi.org\/10.1007\/s00192-021-04707-z","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"Written informed consent was obtained from the patient for publication of this video article and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent"}}]}}