Levatorplasty for Symptomatic Posterior Prolapse due to Recurrent Malignant Ascites

Although infrequently described, massive ascites due to malignancy contributes to symptomatic pelvic organ prolapse.

A 73-year-old woman with recurrent ovarian cancer and massive ascites underwent a levatorplasty for repair of posterior prolapse after failing conservative management.

Management of patient with cancer with prolapse is complex. Patients with cancer with ascites also have pelvic organ prolapse, in addition to other, better described sequelae of increased intra-abdominal pressure. These patients should be treated specifically for prolapse, with therapy, including type of surgery, chosen with special consideration of their underlying disease.