{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:34:44Z","timestamp":1747186484099,"version":"3.40.5"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T00:00:00Z","timestamp":1638921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Given the rarity of recurrent pelvic organ prolapse after obliterative procedures and the paucity of data in the literature on this topic, optimal management is challenging. We describe a technique of reversal of colpocleisis in an 81\u2010year\u2010old woman with recurrent prolapse as the first step in a staged, reconstructive procedure. Basic principles underlying our approach include multidisciplinary team involvement, detailed preoperative planning, and a series of investigations including different imaging modalities and a meticulous stepwise surgical technique. The distortion of anatomical planes, anticipated scarring, and close proximity of pelvic organs specifically bladder and rectum are important considerations. In our case, the multidisciplinary surgical team included urogynecologists, a urologist, and a colorectal surgeon. Detailed preoperative planning was agreed following multiple patient and team consultations. Preoperative investigations included ultrasound and videourodynamics. Intraoperatively, cystoscopy and sigmoidoscopy were performed to identify anatomical landmarks and planes, rule out fistulae, and evaluate for anatomical distortions involving pelvic organs. Subsequently, reversal of the colpocleisis was undertaken and uneventful. Postoperative recovery was uncomplicated and a sacrospinous fixation, anterior vaginal repair, and perineorrhaphy were performed as a secondary restorative procedure for the correction of recurrent prolapse.<\/jats:p>","DOI":"10.1111\/jog.15094","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T23:15:08Z","timestamp":1639005308000},"page":"275-279","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reversal of colpocleisis\u2014A surgical technique for recurrent pelvic organ prolapse"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0404-6335","authenticated-orcid":false,"given":"Stergios K.","family":"Doumouchtsis","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom and St Helier University Hospitals NHS Trust  Epsom UK"},{"name":"Institute of Medical and Biomedical Education St George's University of London  London UK"},{"name":"Laboratory of Experimental Surgery and Surgical Research N. S. Christeas Athens University Medical School  Athens Greece"},{"name":"School of Medicine American University of the Caribbean  Pembroke Pines Florida USA"},{"name":"School of Medicine Ross University  Miramar Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Patricia","family":"Rada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom and St Helier University Hospitals NHS Trust  Epsom UK"},{"name":"2nd Department of Obstetrics and Gynaecology \u201cIuliu Hatieganu\u201d University of Medicine and Pharmacy  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger M. H.","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom and St Helier University Hospitals NHS Trust  Epsom UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1138-8875","authenticated-orcid":false,"given":"Jemina","family":"Loganathan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom and St Helier University Hospitals NHS Trust  Epsom UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Ashraf Khan","family":"Raja","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Epsom and St Helier University Hospitals NHS Trust  Epsom UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000344"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5152\/jtgga.2012.40"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.10.921"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2009.08.003"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-004-0006-3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1541-x"},{"key":"e_1_2_7_8_1","first-page":"S863","article-title":"A comparison of vaginal sacrospinous fixation and abdominal sacrocolpopexy for vaginal vault prolapse repair in the UK: an analysis of the British Society of Urogynaecologists'(BSUG) database","volume":"22","author":"Price N","year":"2011","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15094","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.15094","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T11:26:31Z","timestamp":1693221991000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.15094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,8]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/jog.15094"],"URL":"https:\/\/doi.org\/10.1111\/jog.15094","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"type":"print","value":"1341-8076"},{"type":"electronic","value":"1447-0756"}],"subject":[],"published":{"date-parts":[[2021,12,8]]},"assertion":[{"value":"2021-08-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}