2025 Volume 78 Issue 10 Pages 433-441
Concomitant rectal prolapse and pelvic organ prolapse (POP) are relatively common, and their incidence is expected to increase with population aging. Surgical approaches for each condition include transabdominal (laparoscopic) and perineal methods, and combined procedures can allow simultaneous repair.
We reviewed 17 reports with our cases including 1,371 cases of combined repair and found a Clavien-Dindo grade IIIb or higher complication rate of 1.5%, with recurrence rates of 3.2% for rectal prolapse and 2.9% for POP, indicating favorable outcomes. In the past 10 years, 7 of 9 reports used a combination of laparoscopic ventral rectopexy and sacrocolpopexy (LSCVR), which is also our approach of choice. We describe our LSCVR technique in detail.
Although limited, reports of alternative combinations using transanal or perineal approaches also exist and may be suitable for certain patients. Surgical methods should be selected carefully, taking into account the conditions of individual patients.
