Abstract
Multicompartment pelvic organ prolapse (POP) occurs when multiple pelvic organs herniate
through the pelvic floor, impacting quality of life and daily function. Concomitant
POP and rectal prolapse are common but often underrecognized. A multidisciplinary
approach involving urology, urogynecology, and colorectal surgery is essential for
comprehensive care and improved outcomes. Concurrent surgeries are increasingly performed,
allowing patients to address both conditions in a single operation without heightened
complication rates. Treatment for rectal and vaginal prolapse can be achieved through
robotic, laparoscopic, open abdominal, or vaginal/perineal approaches. Surgical selection
is guided by patient comorbidities, treatment goals, the choice of mesh versus native
tissue repair, and the surgeon's experience. This article presents five different
approaches to illustrate the nuances of combined surgical approaches, offering insights
into optimizing the treatment of multicompartment POP.
Keywords
multicompartment prolapse - rectal prolapse - vaginal prolapse - pelvic organ prolapse
- suture rectopexy - ventral rectopexy - sacrocolpopexy - hysteropexy
