Approaching Combined Rectal and Vaginal Prolapse

Author:

Wallace Shannon1,Gurland Brooke12

Affiliation:

1. Urogynecology/Department of Obstetrics and Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Urogynecology), Women's Health Institute, Cleveland, Ohio

2. Department of Surgery, Stanford Pelvic Health Center, Stanford University, Stanford, California

Abstract

AbstractCombined rectal prolapse and pelvic organ prolapse surgery provides significant quality-of-life benefits with improvements in bothersome symptoms of pain, bulge, constipation, urinary retention, as well as bowel and bladder incontinence. Robotic surgery is the ideal tool for a combined surgical repair. It allows enhanced suturing in the deep pelvis, three-dimensional (3D) visualization of the presacral space and easy mobilization of the rectum and dissection of the vagina. Combined procedures can be offered to patients with the advantages of a single operation and concurrent recovery period without increasing complications. In this article, we highlight our approach to combined prolapse repair.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology,Surgery

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