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Updated: Jul 10, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Culdocele repair in female pelvic organ prolapse
1Department of Obstetrics and Gynecology, Division of Urogynecology, University of the Free State, Bloemfontein, South Africa. gnoghsc.md@uovs.ac.za
Objectives:
To review patients with a culdocele, a wide and deep cul-de-sac, and to report the results of treatment by sacrocolpopexy.
Methods:
A retrospective review of 117 patients with a culdocele identified by clinical examination and intraoperatively.
Results:
The mean age and parity of the patients were 61.4 years and 3.1, respectively. Bladder complaints occurred in 46% of patients and bowel problems in 74% (mainly obstructed defecation). Something protruded through the vaginal introitus in 84% of patients. All patients were treated with a sacrocolpopexy: 96% with mobilization and elevation of the rectum (rectopexy), and 79% with Burch colposuspension. Follow-up results were obtained for 98% of the patients (mean, 14.7 months). Recurrent prolapse occurred in 10% of patients.
Conclusions:
A culdocele differs from an enterocele because it a distended and deep cul-de-sac without a true hernia between the distal vagina and rectum. Sacrocolpopexy resulted in a 10% recurrence rate of prolapse.
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