Transrectal bladder prolapse in a male managed with a robotic-assisted laparoscopic cystoprostosacropexy

Abstract

Pelvic floor disorders frequently occur as the result of excessive straining from chronic constipation or the trauma of vaginal childbirth, making them more common in women. We present a 62-year-old male with bladder prolapse through the anterior rectal wall in the setting of longstanding bladder holding behavior and excessive straining to void. We performed a novel robotic-assisted laparoscopic cystoprostosacropexy by anchoring the bladder and prostate to the sacrum to prevent bladder descent. Postoperatively, the bladder prolapse resolved with return of normal urinary function. This case underscores the potential of innovative surgical techniques in managing complex pelvic floor disorders in males.