Laparoscopic Ventral Rectocolpopexy for Complex Rectogenital Prolapse

Abstract

Rectal prolapse is a full-thickness intussusception of the rectum. When the intussusception is still confined to the anal canal, it is referred to as internal prolapse. Once the prolapse protrudes beyond the anal verge, it is called a total rectal prolapse. Inevitably, a significant descensus of the posterior pelvic compartment will influence the static and dynamic stability of the other pelvic compartments (especially the middle compartment). The presence of an abnormally deep pouch of Douglas is a constant finding in total rectal prolapse. In the ageing woman, weakening of the pelvic floor and rectovaginal septum further contribute to the development of more complex pelvic organ prolapses.