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Rapid Onset of De Novo Rectal Prolapse Following Colpocleisis

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Abstract

Introduction

The aim of this video case series is to demonstrate our experience of the clinical findings and the surgical management of the rapid onset de novo rectal prolapse (RP) following colpocleisis

Methods

This is a case series of three patients who developed de novo RP within 1 month after colpocleisis, which was repaired by laparoscopic ventral mesh rectopexy (LVMR). The video shows the physical, radiological, and intraoperative findings of these patients. A retrospective review of our surgical cases of RP was also performed to analyze the onset timing of de novo RP after various pelvic organ prolapse (POP) procedures.

Results

The pathological condition of all three patients’ RP was evacuation enterocele, and LVMR was feasible without postoperative complications or recurrences. In the retrospective case review of 158 RP surgeries in our institution (June 2015 to September 2023), 18 cases (11.4%) occurred following POP surgery. De novo RP following colpocleisis developed significantly earlier than those following other procedures (average: 6.1 vs 66.4 months, p = 0.010).

Conclusions

Although de novo RP following colpocleisis is relatively rare, this complication could have a detrimental effect on patients’ quality of life. Preoperative informed consent may be advisable before planning colpocleisis.

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Data Availability

Data is available upon request from corresponding author (T.K.); tkatoo98ll@gmail.com.

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Author information

Authors and Affiliations

  1. Department of Surgery, Toyota Kosei Hospital, 500-1 Josui-Cho, Toyota, Aichi, 470-0396, Japan

    Takehiro Kato & Yasuhiro Kurumiya

  2. Department of Female Urology, Meitetsu Hospital, Nagoya, Japan

    Kumiko Kato

Authors
  1. Takehiro Kato
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  2. Kumiko Kato
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  3. Yasuhiro Kurumiya
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Contributions

T.K.: corresponding doctor of the presented patients, data collection and analysis, manuscript writing; K.K.: manuscript editing; Y.K.: data analysis, manuscript editing.

Corresponding author

Correspondence to Takehiro Kato.

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Consent

Written informed consent was obtained from the patients for publication of this case report and any accompanying images.

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Handling Editor: Annette Kuhn

Editor in Chief: Kaven Baessler

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Kato, T., Kato, K. & Kurumiya, Y. Rapid Onset of De Novo Rectal Prolapse Following Colpocleisis. Int Urogynecol J (2024). https://doi.org/10.1007/s00192-024-05788-2

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  • DOI: https://doi.org/10.1007/s00192-024-05788-2

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