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Updated: Jun 14, 2026
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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Transvaginal sacrospinous rectopexy: initial clinical experience
B Gurland1, K A Garrett, F Firoozi
1Cleveland Clinic, Cleveland, OH 44195, USA. gurlanb@ccf.org
Techniques in Coloproctology
|March 24, 2010
Summary
Transvaginal sacrospinous rectopexy offers a safe and minimally invasive surgical option for rectal prolapse. This technique achieves rectal fixation without resection, presenting a novel approach for patients.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Pelvic Floor Disorders
Background:
- Rectal prolapse treatment options vary, often involving mucosal or full-thickness resection.
- A perineal approach for rectal fixation without resection is currently lacking.
- This study introduces transvaginal sacrospinous rectopexy as a novel treatment.
Purpose of the Study:
- To report the initial outcomes of transvaginal sacrospinous rectopexy for rectal prolapse.
- To evaluate the safety and feasibility of this minimally invasive technique.
Main Methods:
- A longitudinal vaginal incision was made to access the rectum and sacrospinous ligament.
- Sutures were passed through the sacrospinous ligament and Surgisis mesh anchored to the rectum.
- The procedure involved bilateral rectal suspension and vaginal wall closure.
Main Results:
- Transvaginal sacrospinous rectopexy was successfully performed in seven patients.
- Average operative time was 163 minutes with 107 mL blood loss.
- One case of full-thickness recurrence was observed at 18 weeks.
Conclusions:
- Transvaginal sacrospinous rectopexy is a safe and feasible minimally invasive technique.
- This approach provides rectal fixation without resection via a transvaginal route.
- Further research may establish its role in managing rectal prolapse.
