Abstract
Objective: To describe Le Fort vaginal hysterectomy or colpocleisis in elderly patients with total uterine prolapse, highlighting its benefits and disadvantages. Bibliographic review: In relation to the benefits, it is often promulgated that vaginal hysterectomy comprises a safe treatment route, whereas Colpocleisis or Le operation Fort addresses an obliterative surgical technique used in the treatment of symptomatic large uterine prolapse and / or vaginal dome, in patients who no longer wish to have sex, old age and high surgical risk. Final Considerations: Even if some women with uterine prolapse obstruct their sexual activity due to their clinical condition, many still show the desire to restart life, even reaching when they reach old age, seeking to enhance sexual function, and the development of surgical techniques that protect anatomy and function is extremely important. the vaginal, which are safe for patients and patients with comorbidities. The beneficial advantages that vaginal hysterectomy brings promote that it is the best procedure to be performed, as they have less intraoperative blood loss, decreased postoperative pain intensity, low frequency of use of analgesics and less time to return to activities after surgery.