This video demonstrates a technique for robot-assisted combined rectopexy with colpopexy, but without the use of mesh for rectal prolapse.
This case features a 61-year-old woman who presents with complaints of tissue protruding through her rectum and fecal incontinence. On examination, she was found to have circumferential, full-thickness rectal prolapse and perineal descent. We present a technique that combines rectopexy with colpopexy without the use of mesh for repair of rectal prolapse. Postoperative examination revealed resolution of rectal prolapse and good perineal support. This video illustrates a technique that may serve as a useful adjunct to have in one’s surgical armamentarium in circumstances when mesh should not or cannot be used, such as in cases that require resection of the sigmoid colon or for patients who simply prefer to avoid the use of mesh.
Given that rectal prolapse and posthysterecomy vaginal vault prolapse often occur together, our institution routinely performs colpopexy with rectopexy for rectal prolapse to provide additional support to the pelvic floor as demonstrated in this video.
This is a preview of subscription content, log in to check access.
Buy single article
Instant unlimited access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Lauretta A et al (2012) Laparoscopic low ventral rectocolpopexy (LLVR) for rectal and rectogenital prolapse: surgical technique and functional results. Tech Coloproctol 16(6):477–483
Peters WA 3rd, Smith MR, Drescher CW (2001) Rectal prolapse in women with other defects of pelvic floor support. Am J Obstet Gynecol 184(7):1488–1494
Tou S et al (2008) Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev 4, CD001758
Slawik S et al (2008) Laparoscopic ventral rectopexy, posterior colporrhaphy and vaginal sacrocolpopexy for the treatment of recto-genital prolapse and mechanical outlet obstruction. Colorectal Dis 10(2):138–143
Collopy BT, Barham KA (2002) Abdominal colporectopexy with pelvic cul-de-sac closure. Dis Colon Rectum 45(4):522–526, discussion 526–529
Heah SM et al (2000) Laparoscopic suture rectopexy without resection is effective treatment for full-thickness rectal prolapse. Dis Colon Rectum 43(5):638–643
Madiba TE, Baig MK, Wexner SD (2005) Surgical management of rectal prolapse. Arch Surg 140(1):63–73
Marderstein EL, Delaney CP (2007) Surgical management of rectal prolapse. Nat Clin Pract Gastroenterol Hepatol 4(10):552–561
Melton GB, Kwaan MR (2013) Rectal prolapse. Surg Clin N Am 93(1):187–198
Popp L, Augustin A (2013) Pelvic floor-lifting: an interdisciplinary repair of combined rectal and vaginal prolapse-5 years experience. Arch Gynecol Obstet 288(1):83–90
Written informed consent was obtained from the patient for publication of this video article and any accompanying images. No financial support was received for this study.
Conflicts of interest
Electronic supplementary material
Below is the link to the electronic supplementary material.
(MP4 48683 kb)
About this article
Cite this article
Greene, K.A., Sanchez, J.E., Campbell, M.L. et al. Robot-assisted rectopexy and colpopexy for rectal prolapse. Int Urogynecol J 25, 553–555 (2014). https://doi.org/10.1007/s00192-013-2217-5
- Rectal prolapse
- Pelvic organ prolapse