Colpocleisis
A highly effective surgical procedure that closes the vaginal canal to correct severe pelvic organ prolapse — the optimal choice for elderly women who are no longer sexually active and prefer a definitive, low-risk repair.
What is Colpocleisis?
Colpocleisis is a surgical procedure that corrects severe pelvic organ prolapse by partially or completely closing the vaginal canal, obliterating the space into which the prolapse descends. It is the most effective and durable surgical option for prolapse repair and is associated with the lowest complication rates — making it particularly suitable for elderly or medically frail women who are no longer sexually active. Dr. Ashwani Narla performs colpocleisis at Lux Hospitals, Hyderabad, with thorough pre-operative counselling regarding the permanent nature of the procedure.
Suitable for elderly or medically frail women with severe pelvic organ prolapse who are no longer sexually active, accept the permanent nature of the procedure, and for whom a low-risk, highly effective repair is the priority.
How the Procedure Works
Anaesthesia
General, spinal, or local anaesthesia with sedation is used based on the patient's medical fitness. The procedure is designed to minimise anaesthetic risk.
Vaginal Epithelium Removal
The vaginal epithelial lining is removed from the anterior and posterior walls in opposing rectangles, denuding the surfaces that will be approximated.
Wall Approximation
The denuded surfaces are brought together with absorbable sutures, obliterating the vaginal canal and creating a firm fibrous barrier to prolapse.
Levator Plication
The levator ani muscles are plicated in the midline to reinforce the pelvic floor and provide additional structural support to the repair.
Closure & Recovery
The vaginal opening is narrowed and the perineum repaired. Recovery is rapid with hospital stay of one to two days and quick return to normal activities.
Outcomes
Who Needs This Treatment?
- →
Highest success rate of all prolapse repair procedures — over 95%
- →
Low complication rate makes it suitable for elderly or medically frail patients
- →
Short procedure with rapid recovery compared to reconstructive repairs
- →
Permanent resolution of prolapse symptoms and vaginal bulge
- →
Can be performed under spinal or local anaesthesia where general anaesthesia is risky
- →
Eliminates the anatomical space into which prolapse descends — highly durable
Colpocleisis is profoundly effective. For the right patient, it offers complete, lasting relief from prolapse with the lowest possible surgical risk — and that is exactly what she needs.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Colpocleisis Cost in Hyderabad
The cost of colpocleisis in Hyderabad depends on the severity of uterine prolapse, the extent of pelvic floor weakness, the patient's overall health, pre-operative evaluation, surgical complexity, anesthesia, and hospital care. Colpocleisis is a vaginal prolapse repair procedure that closes or narrows the vaginal canal to provide support to the prolapsed pelvic organs. It is generally considered for selected patients who do not desire future vaginal intercourse and may be particularly suitable for older patients with significant pelvic organ prolapse. The estimated cost ranges from ₹90,000 to ₹1,80,000, with an average cost of approximately ₹1,35,000.
| Procedure | Approximate Cost Range |
|---|---|
| Colpocleisis Elderly, no longer sexually active | ₹90,000 ₹1,80,000 |
The actual cost may differ depending on the severity and type of pelvic organ prolapse, associated pelvic floor defects, medical conditions, and whether additional prolapse repairs are required. Pre-operative assessment, anesthesia, operating-room charges, hospital or day-care stay, medications, investigations, and follow-up care may all contribute to the final expense.
Colpocleisis is an obliterative procedure that changes the structure of the vaginal canal and is intended for patients who do not wish to retain the ability to have vaginal intercourse. The decision to undergo this procedure should therefore take the patient's symptoms, overall health, prolapse characteristics, and personal preferences into consideration.
Factors Affecting Colpocleisis Cost
The cost of colpocleisis can vary between patients because the extent of prolapse and associated pelvic floor weakness differs. A thorough evaluation helps determine whether colpocleisis is appropriate and whether any additional procedures are needed.
- →
Severity of prolapse: More advanced uterine or vaginal prolapse may require more extensive surgical correction.
- →
Type of pelvic organ prolapse: Uterine prolapse may occur along with bladder or rectal support defects, which can influence the treatment plan.
- →
Associated pelvic floor weakness: Additional areas of weakened pelvic support may need to be assessed and treated.
- →
Patient suitability: Age, overall health, symptoms, and whether the patient desires future vaginal intercourse are important considerations when selecting colpocleisis.
- →
Pre-operative evaluation: Pelvic examination, medical assessment, blood tests, and other investigations may be required before surgery.
- →
Additional prolapse repairs: If other pelvic floor defects require correction during the same procedure, the total cost may increase.
- →
Anesthesia and hospital care: Anesthesia, operating-room charges, admission or day-care services, monitoring, and recovery care contribute to the overall expense.
- →
Medical conditions: Existing health conditions may require additional pre-operative assessment or monitoring.
- →
Post-operative care: Medicines, follow-up consultations, monitoring, and recovery-related care may also affect the final cost.
Insurance Coverage for Colpocleisis
Colpocleisis may be covered by health insurance when it is performed as medically necessary treatment for pelvic organ or uterine prolapse. Coverage depends on the diagnosis, medical indication, policy terms, waiting periods, exclusions, insurer guidelines, and pre-authorization requirements. Patients should confirm their benefits, applicable limits, and cashless treatment eligibility with their insurance provider before planned admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with uterine prolapse and other pelvic floor disorders. During consultation, she reviews symptoms such as pelvic pressure, vaginal bulging, difficulty with urination or bowel movements, medical and surgical history, examination findings, and relevant investigations. She assesses the degree and type of prolapse and discusses suitable treatment options based on the patient's symptoms, overall health, and personal preferences. For patients who do not wish to retain the ability to have vaginal intercourse, colpocleisis may be discussed as one possible surgical approach. The consultation may also cover alternative prolapse procedures, preparation for surgery, expected recovery, possible additional repairs, and estimated treatment cost.
Consultation with Dr. Ashwani Narla Consultation with Dr. Ashwani NarlaCommon Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Ashwani Narla and get a personalised treatment plan.