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Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

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Published on: October 25, 2024

Ways to Repair Multicompartment Prolapse: Decision-Making and Surgical Approach.

Sara Rahman¹, Shannon L Wallace², Anna R Spivak³

¹Division of Urogynecology and Pelvic Floor Disorders, Obstetrics and Gynecology Institute, Cleveland Clinic, Cleveland, Ohio.

Clinics in Colon and Rectal Surgery

|October 3, 2025

Summary

Multicompartment pelvic organ prolapse (POP) requires a team approach. Concurrent surgeries for rectal and vaginal prolapse are safe and effective, improving patient outcomes.

Keywords:

hysteropexy multicompartment prolapse pelvic organ prolapse rectal prolapse sacrocolpopexy suture rectopexy vaginal prolapse ventral rectopexy

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Published on: June 16, 2022

Area of Science:

Urology
Urogynecology
Colorectal Surgery

Background:

Multicompartment pelvic organ prolapse (POP) affects multiple organs, impacting quality of life.
Concomitant POP and rectal prolapse are common but often overlooked.

Purpose of the Study:

To highlight the importance of a multidisciplinary approach for POP.
To discuss concurrent surgical options for multicompartment POP.

Main Methods:

Review of surgical approaches for combined rectal and vaginal prolapse.
Discussion of robotic, laparoscopic, open abdominal, and vaginal/perineal techniques.

Main Results:

Concurrent surgeries for POP can be performed without increased complication rates.
Surgical approach selection depends on patient factors and surgeon expertise.

Conclusions:

A multidisciplinary team is essential for managing multicompartment POP.
Combined surgical approaches offer effective treatment for concurrent rectal and vaginal prolapse.