Surgical Management of Pelvic Organ Prolapse in Females: Functional Outcome of Mesh Sacrocolpopexy and Rectopexy as a Combined Procedure

Abstract

In patients with concurrent vaginal and rectal prolapse, open mesh sacrocolporectopexy confers good symptomatic improvement for urinary-, vaginal-, and rectal-related symptoms.

Feasibility and Functional Outcome of Laparoscopic Sacrocolporectopexy for Combined Vaginal and Rectal Prolapse

“…We have reported previously that open mesh sacrocolporectopexy is a feasible surgical procedure for the management of patients with multiple pelvic organ prolapses that resulted in good outcomes. 9 The current study demonstrates that a laparoscopic variation of the procedure can be used and results in similar improved functional outcomes in patients with prolapse of multiple pelvic organs.…”

“…The patients in this study had a shorter hospital stay, less analgesic use, less morbidity, improved cosmesis, and reduced wound sizes compared with our series of patients who underwent an open sacrocolporectopexy procedure. 9 The operating times for this laparoscopic procedure were comparable to that of the open procedure. The procedure required the same amount of time as a standard laparoscopic mesh rectopexy since the perineal (vaginal) part of the operation is carried out concurrent with the laparoscopic part of the procedure.…”

“…9 Identification and surgical correction of all compartment prolapses in a single procedure should be the aim of treatment given the improved functional results of the pelvic floor and resolution of symptoms postoperatively. Addressing all compartment prolapses in a single procedure should obviate the need for further surgical procedures to correct the "missed" prolapse.…”

“…We previously reported the feasibility and functional benefit of open mesh sacrocolporectopexy in a series of 29 patients with combined vaginal and rectal prolapse. 9 This study evaluates the feasibility, safety, and functional outcome of laparoscopic sacrocolporectopexy in a consecutive series of patients with concurrent rectal and vaginal prolapse.…”

Laparoscopic ventral rectopexy with sacrocolpopexy for coexisting pelvic organ prolapse and external rectal prolapse

“…When ERP is associated with cystocele and/or hysterocele, they should be repaired simultaneously. Even though simultaneous open abdominal repair or the combination of laparoscopic and perineal approaches to the coexisting POP and ERP has been reported to have been employed [11][12][13] , si- Figure 1. a.…”