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Frail women with stage-III or -IV pelvic organ prolapse who don’t wish to preserve coital ability are candidates for colpocleisis

On the matter of self-image, colpocleisis eliminates prolapse, reduces the genital hiatus, and may improve the appearance of the external genital area

Preop, transvaginal US is crucial if the patient has a suspicious pelvic mass or uterine bleeding; endometrial sampling is indicated for unexplained vaginal bleeding

The sides of two denuded rectangles on the vagina—one on the anterior and one on the posterior wall—are sutured together, which creates bilateral channels that connect at the apex of the vagina

The two lateral channels created by the LeFort procedure allow any bleeding to escape the vagina; this may enable recognition of uterine or cervical malignancy