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Updated: Dec 13, 2025

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
Laparoscopic pelvic organ prolapse repair by mesh interposition following radical cystectomy
Hirokazu Abe1, Bo Fan1, Tingwen Huang1
1Department of Urology Kameda Medical Center Kamogawa Japan.
Introduction:
The present study aims to introduce laparoscopic treatment by the interposition of polypropylene mesh for a pelvic organ prolapse in females following radical cystectomy for treating muscle-invasive bladder carcinoma.
Case Presentation:
The patients included two women aged 77 and 79 years with symptomatic enterocele following radical cystectomy and ileal conduit urinary diversion. We performed laparoscopic sacrospinous colpopexy using polypropylene and polypropylene/ePTFE composite meshes.
Conclusion:
No recurrent prolapse occurred during 26 and 14 months of follow-up after the operation. No severe perioperative complications were noted. This is a first report on cases of laparoscopic sacrospinous colpopexy for post-cystectomy pelvic organ prolapse. Our procedure could be safely performed in two patients with post-cystectomy pelvic organ prolapse.

