Download PDF
Clin Colon Rectal Surg 2021; 34(01): 069-076
DOI: 10.1055/s-0040-1714289
Review Article

A Collaborative Approach to Multicompartment Pelvic Organ Prolapse

Brooke Gurland
1   Urogynecology and Pelvic Reconstruction Surgery, Department of Obstetrics & Gynecology, Stanford University School of Medicine, Stanford, California
,
Kavita Mishra
2   Female Pelvic Medicine & Reconstructive Surgery (Urogynecology), Stanford University School of Medicine, Stanford, California
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Multicompartment pelvic organ prolapse is common yet frequently underreported and unrecognized. Although not life-threatening, the impact on quality of life and daily functioning can be significant. Multidisciplinary evaluation and treatment with specialists in colorectal and female pelvic medicine and reconstructive surgery (FPMRS) help to identify patients who will benefit from surgical treatment of vaginal and rectal prolapse. Both abdominal and perineal combined procedures can be offered to patients with a single operation and concurrent recovery period without increasing complications.

Keywords

rectal prolapse - vaginal prolapse - pelvic organ prolapse - ventral rectopexy - sacrocolpopexy - multidisciplinary pelvic floor approach


Publication History

Article published online:
04 September 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Nager CW, Kumar D, Kahn MA, Stanton SL. Management of pelvic floor dysfunction. Lancet 1997; 350 (9093): 1751
    CrossrefPubMedSearch in Google Scholar
  • 2 Steers WD. Establishing the subspecialty of female pelvic medicine and reconstructive surgery in the United States of America. Arab J Urol 2013; 11 (02) 113-116
    CrossrefPubMedSearch in Google Scholar
  • 3 Nygaard I, Barber MD, Burgio KL. et al; Pelvic Floor Disorders Network. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008; 300 (11) 1311-1316
    CrossrefPubMedSearch in Google Scholar
  • 4 Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997; 89 (04) 501-506
    CrossrefPubMedSearch in Google Scholar
  • 5 González-Argenté FX, Jain A, Nogueras JJ, Davila GW, Weiss EG, Wexner SD. Prevalence and severity of urinary incontinence and pelvic genital prolapse in females with anal incontinence or rectal prolapse. Dis Colon Rectum 2001; 44 (07) 920-926
    CrossrefPubMedSearch in Google Scholar
  • 6 Altman D, Zetterstrom J, Schultz I. et al. Pelvic organ prolapse and urinary incontinence in women with surgically managed rectal prolapse: a population-based case-control study. Dis Colon Rectum 2006; 49 (01) 28-35
    CrossrefPubMedSearch in Google Scholar
  • 7 Mäkelä-Kaikkonen J, Rautio T, Kairaluoma M. et al. Does ventral rectopexy improve pelvic floor function in the long term?. Dis Colon Rectum 2018; 61 (02) 230-238
    CrossrefPubMedSearch in Google Scholar
  • 8 Geltzeiler CB, Birnbaum EH, Silviera ML. et al. Combined rectopexy and sacrocolpopexy is safe for correction of pelvic organ prolapse. Int J Colorectal Dis 2018; 33 (10) 1453-1459
    CrossrefPubMedSearch in Google Scholar
  • 9 Lee A, Kin C, Syan R, Morris A, Gurland B. Surgical decision-making for rectal prolapse: one size does not fit all. Postgrad Med 2019; 1-7
    PubMedSearch in Google Scholar
  • 10 Daniel VT, Davids JS, Sturrock PR, Maykel JA, Phatak UR, Alavi K. Getting to the bottom of treatment of rectal prolapse in the elderly: analysis of the National Surgical Quality Improvement Program (NSQIP). Am J Surg 2019; 218 (02) 288-292
    CrossrefPubMedSearch in Google Scholar
  • 11 Suskind AM, Jin C, Walter LC, Finlayson E. Frailty and the role of obliterative versus reconstructive surgery for pelvic organ prolapse: a national study. J Urol 2017; 197 (06) 1502-1506
    CrossrefPubMedSearch in Google Scholar
  • 12 Jallad K, Gurland B. Multidisciplinary approach to the treatment of concomitant rectal and vaginal prolapse. Clin Colon Rectal Surg 2016; 29 (02) 101-105
    Thieme ConnectPubMedSearch in Google Scholar
  • 13 Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 2005; 193 (01) 103-113
    Search in Google Scholar
  • 14 Swift S, Morris S, McKinnie V. et al. Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17 (06) 615-620
    CrossrefPubMedSearch in Google Scholar
  • 15 Lawrence JM, Lukacz ES, Nager CW, Hsu JW, Luber KM. Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol 2008; 111 (03) 678-685
    CrossrefPubMedSearch in Google Scholar
  • 16 Brubaker L, Cundiff GW, Fine P. et al; Pelvic Floor Disorders Network. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 2006; 354 (15) 1557-1566
    CrossrefPubMedSearch in Google Scholar
  • 17 Cundiff GW, Varner E, Visco AG. et al; Pelvic Floor Disorders Network. Risk factors for mesh/suture erosion following sacral colpopexy. Am J Obstet Gynecol 2008; 199 (06) 688.e1-688.e5
    CrossrefPubMedSearch in Google Scholar
  • 18 Weinberg D, Qeadan F, McKee R, Rogers RG, Komesu YM. Safety of laparoscopic sacrocolpopexy with concurrent rectopexy: peri-operative morbidity in a nationwide cohort. Int Urogynecol J Pelvic Floor Dysfunct 2018
    Search in Google Scholar
  • 19 Watadani Y, Vogler SA, Warshaw JS. et al. Sacrocolpopexy with rectopexy for pelvic floor prolapse improves bowel function and quality of life. Dis Colon Rectum 2013; 56 (12) 1415-1422
    CrossrefPubMedSearch in Google Scholar
  • 20 Collopy BT, Barham KA. Abdominal colporectopexy with pelvic cul-de-sac closure. Dis Colon Rectum 2002; 45 (04) 522-526 , discussion 526–529
    CrossrefPubMedSearch in Google Scholar
  • 21 Slawik S, Soulsby R, Carter H, Payne H, Dixon AR. Laparoscopic ventral rectopexy, posterior colporrhaphy and vaginal sacrocolpopexy for the treatment of recto-genital prolapse and mechanical outlet obstruction. Colorectal Dis 2008; 10 (02) 138-143
    PubMedSearch in Google Scholar
  • 22 van Iersel JJ, de Witte CJ, Verheijen PM. et al. Robot-assisted sacrocolporectopexy for multicompartment prolapse of the pelvic floor: a prospective cohort study evaluating functional and sexual outcome. Dis Colon Rectum 2016; 59 (10) 968-974
    CrossrefPubMedSearch in Google Scholar
  • 23 Lim M, Sagar PM, Gonsalves S, Thekkinkattil D, Landon C. Surgical management of pelvic organ prolapse in females: functional outcome of mesh sacrocolpopexy and rectopexy as a combined procedure. Dis Colon Rectum 2007; 50 (09) 1412-1421
    CrossrefPubMedSearch in Google Scholar
  • 24 Ayav A, Bresler L, Brunaud L, Zarnegar R, Boissel P. Surgical management of combined rectal and genital prolapse in young patients: transabdominal approach. Int J Colorectal Dis 2005; 20 (02) 173-179
    CrossrefPubMedSearch in Google Scholar
  • 25 Jallad K, Ridgeway B, Paraiso MFR, Gurland B, Unger CA. Long-term outcomes after ventral rectopexy with sacrocolpo- or hysteropexy for the treatment of concurrent rectal and pelvic organ prolapse. Female Pelvic Med Reconstr Surg 2018; 24 (05) 336-340
    CrossrefPubMedSearch in Google Scholar
  • 26 Kiyasu Y, Tsunoda A, Takahashi T, Nomura M. Laparoscopic ventral rectopexy with sacrocolpopexy for coexisting pelvic organ prolapse and external rectal prolapse. J Anus Rectum Colon 2018; 1 (04) 141-146
    CrossrefPubMedSearch in Google Scholar
  • 27 Popp L, Augustin A. Pelvic floor-lifting: an interdisciplinary repair of combined rectal and vaginal prolapse-5 years experience. Arch Gynecol Obstet 2013; 288 (01) 83-90
    CrossrefPubMedSearch in Google Scholar
  • 28 Riansuwan W, Hull TL, Bast J, Hammel JP. Combined surgery in pelvic organ prolapse is safe and effective. Colorectal Dis 2010; 12 (03) 188-192
    CrossrefPubMedSearch in Google Scholar
  • 29 Sagar PM, Thekkinkattil DK, Heath RM, Woodfield J, Gonsalves S, Landon CR. Feasibility and functional outcome of laparoscopic sacrocolporectopexy for combined vaginal and rectal prolapse. Dis Colon Rectum 2008; 51 (09) 1414-1420
    CrossrefPubMedSearch in Google Scholar
  • 30 van Iersel JJ, Formijne Jonkers HA, Paulides TJC. et al. Robot-assisted ventral mesh rectopexy for rectal prolapse: a 5-year experience at a tertiary referral center. Dis Colon Rectum 2017; 60 (11) 1215-1223
    CrossrefPubMedSearch in Google Scholar
  • 31 Yang SJ, Yoon SG, Lim KY, Lee JK. Laparoscopic vaginal suspension and rectopexy for rectal prolapse. Ann Coloproctol 2017; 33 (02) 64-69
    CrossrefPubMedSearch in Google Scholar
  • 32 Van Zanten F, van der Schans EM, Consten ECJ. et al. Long-term anatomical and functional results of robot-assisted pelvic floor surgery for the management of multicompartment prolapse: a prospective study. Dis Colon Rectum 2020 . Online ahead of print
    Search in Google Scholar
  • 33 Wallace SL, Syan R, Enemchukwu EA. et al. Surgical approach, complications, and reoperation rates of combined rectal and pelvic organ prolapse surgery. Int Urogynecol J 2020 . Online ahead of print
    Search in Google Scholar