What is your technique for denuding vaginal epithelium during a colpocleisis?

Depends on the type of colpocleisis. For a Le Fort, I typically make two trapezoids. With the vagina everted, I pre-mark the edges of the dissection, starting with a horizontal border approximately 1 cm distal from the cervical reflection, then a second horizontal border ~1 cm proximal to the bladder neck. Then, I make a similar horizontal border on the posterior side of the vagina distal to the cervix and measure the same distance on the posterior wall, where I add another horizontal border. For both the anterior and posterior walls, I then connect the proximal and distal borders to make a trapezoid, making sure that I leave at least a 3 cm gap of intact epithelium between the two edges (this will become the lateral channels).

For a total ...