Assessment of feasibility of abdominal mesh vaginorectopexy in the repair of multiple pelvic organ prolapse

Abstract

ABSTRACTIntroduction Pelvic organ prolapse (POP) is the descent of one or more aspects of the vagina and uterus, while rectal prolapse (RP) is the protrusion of the rectum through the anal canal. Multiple POP is combined prolapse of more than one pelvic organ and it is ideally surgically treated. Vaginorectopexy is a modification of the classical ventral mesh rectopexy which may be used in case of combined prolapse of multiple pelvic organs where a polypropylene mesh is used to support pelvic tissues and repair prolapse.Aim To assess the feasibility of open abdominal mesh vaginorectopexy in the repair of multiple POP.Patients and methods This study was carried out on 20 female patients who underwent open abdominal mesh vaginorectopexy for the repair of multiple POP.Results All the cases who complained of complete RP and 90% of cases who complained of uterine prolapse were cured, while symptoms of obstructed defecation were significantly improved in 95% of cases, of which 35% were completely cured. Fecal incontinence was significantly improved in 100% and significantly cured in 80% of cases, urinary incontinence was significantly cured in 75% of cases, and 94.4% of the cases who presented with urinary symptoms (dysuria and urgency), were treated at 12 months post surgery. There was no statistically significant postoperative complications.Conclusion Abdominal mesh vaginorectopexy for the repair of multiple pelvic organ is feasible and can result in significant improvement of function and quality of life.

Keywords

• Pelvic organ prolapse
• rectal prolapse
• vaginorectopexy