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Review
. 2024 Oct;35(10):1955-1960.
doi: 10.1007/s00192-024-05869-2. Epub 2024 Aug 1.

The Current Evidence and How-To on Combined Sacrocolpopexy and Rectopexy

Amy D Gee  1 , Sunny Kairi Lee  2 , Kristen Ban  3 , Marie Fidela R Paraiso  2
Affiliations
Review

The Current Evidence and How-To on Combined Sacrocolpopexy and Rectopexy

Amy D Gee et al. Int Urogynecol J. 2024 Oct.

Abstract

Introduction and hypothesis: Multicompartment prolapse is a complex pelvic floor condition that can involve coordination of both urogynecologists and colorectal surgeons.

Methods: Concomitant sacrocolpopexy and ventral rectopexy is a safe and effective approach to treating this condition.

Results: The combined procedure has high rates of patient satisfaction and symptom improvement, including defecatory dysfunction, sexual health, and overall increased quality of life.

Conclusion: Concomitant sacrocolpopexy with ventral rectopexy is safe and improves overall outcomes.

Keywords: Combined sacrocolpopexy and rectopexy; Defecatory dysfunction; Multicompartment prolapse.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Small ruler measuring the distance between the levator ani muscles
Fig. 2
Fig. 2
Mesh fashioned into a “T-shape” according to measurements taken intra-operatively
Fig. 3
Fig. 3
Distance between the rectal and vaginal mesh attachment is 2–3 cm
Fig. 4
Fig. 4
Double-layered mesh “tail” for sacral attachment
See this image and copyright information in PMC

References

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    1. Geltzeiler CB, Birnbaum EH, Silviera ML, et al. Combined rectopexy and sacrocolpopexy is safe for correction of pelvic organ prolapse. Int J Colorectal Dis. 2018;33(10):1453–9. 10.1007/s00384-018-3140-5. - PubMed
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