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Related Experiment Video

Updated: Jun 14, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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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
PubMed
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.

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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.

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Last Updated: Jun 14, 2026

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  • 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.