Related Experiment Video
Updated: Jul 13, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse
Sarah A Collins1, J Eric Jelovsek, Chi Chiung Grace Chen
1Section of Urogynecology and Reconstructive Pelvic Surgery, Division of Surgery, Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, OH, USA.
Objective:
The purpose of this study was to compare the incidence of de novo rectal prolapse after obliterative vaginal surgery with the incidence that was seen after reconstructive vaginal surgery for urogenital prolapse.
Study Design:
A chart review was performed on subjects who underwent vaginal surgery for urogenital prolapse from Jan. 1, 2001, through Dec. 31, 2004, at the Cleveland Clinic. Diagnosis of postoperative rectal prolapse was identified with ICD-9 code 569.1.
Results:
Nine hundred sixteen women underwent vaginal surgery for urogenital prolapse. Ninety-two percent of the women (n = 840) underwent reconstructive surgery, and 8% of the women (n = 76) underwent obliterative surgery. The incidence of postoperative full-thickness rectal prolapse in women who were > or = 65 years old who underwent obliterative surgery was 3 of 74 (4.1%; 95% CI, 1.4-11), with an estimated odds ratio of 22 (95% CI, 2.3-196; P < .002) compared with women who were > or = 65 years old who underwent reconstructive surgery.
Conclusion:
Obliterative surgery is associated with a substantially greater risk of de novo rectal prolapse than reconstructive vaginal surgery for urogenital prolapse.
Related Concept Videos
Urinary Tract Calculi VI: Surgical Management
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Anatomy of the Genitourinary System II: Bladder and Urethra
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Hiatal Hernia