Related Experiment Video
Updated: Mar 23, 2026
03:30
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
2.7K
Laparoscopic ventral mesh rectopexy in complex pelvic floor disorder
K Horisberger1,2, A Rickert1, S Templin1
1Chirurgische Klinik, Universitätsmedizin Mannheim, Faculty of Medicine Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
International Journal of Colorectal Disease
|April 5, 2016
Summary
Laparoscopic ventral mesh rectopexy significantly improves constipation and quality of life for complex pelvic organ prolapse patients. Incontinence scores remained stable, indicating the procedure
Area of Science:
- Gastroenterology
- Gynecology
- Surgical Innovation
Background:
- Complex pelvic organ prolapse lacks comparative surgical studies.
- Laparoscopic ventral mesh rectopexy (LVMR) is a described treatment for rectocele, enterocele, and rectal prolapse.
Purpose of the Study:
- To evaluate the outcomes of LVMR in patients with complex pelvic floor disorders.
- To assess changes in incontinence, constipation, outlet symptoms, and quality of life post-LVMR.
Main Methods:
- Follow-up study including patients who underwent LVMR for symptomatic rectocele, enterocele, or rectal prolapse (Grade I-II).
- Assessment using Wexner score (incontinence), Herold constipation score, D'Hoore outlet symptom score, and SF-12 quality of life questionnaire.
Main Results:
- 27 women with a median follow-up of 22 months were analyzed.
- Significant improvement in constipation (p=0.007) and D'Hoore outlet scores (p=0.004) was observed.
- Quality of life (SF-12) improved significantly post-operatively, normalizing compared to the general population.
- Incontinence scores (Wexner) showed no significant change (p=0.735).
Conclusions:
- LVMR leads to significant improvements in constipation and quality of life in patients with complex pelvic organ prolapse.
- The procedure does not significantly alter incontinence grades.
- While encouraging for obstructive defecation, the impact on sexual function requires further investigation.
