Transvaginal Composite Reconstruction via a Single-Pathway Approach for Concurrent Pelvic Organ and Rectal Prolapse: A Case Study
-
By
-
Xi Luo
-
Na Yan
-
Neng Jing Yin
-
Ting Liu
-
Guangshi Tao
-
Li Sha Zou
-
July 21, 2026
Clinical Scorecard: Transvaginal Composite Reconstruction via a Single-Pathway Approach for Concurrent Pelvic Organ and Rectal Prolapse: A Case Study
At a Glance
| Category | Detail |
|---|
| Condition | Concomitant pelvic organ prolapse (POP) and rectal prolapse (RP) |
| Key Mechanisms | Transvaginal mesh (TVM) pelvic floor reconstruction with concurrent rectopexy |
| Target Population | Elderly women with severe POP and RP |
| Care Setting | Hunan Provincial Hospital of Traditional Chinese Medicine |
Key Highlights
- TVM offers a high anatomical cure rate (90%) for pelvic floor reconstruction.
- The case involved a 76-year-old female with severe POP and RP.
- No recurrence or mesh-related complications observed at 18 months follow-up.
- TVM remains a viable option for selected patients despite FDA restrictions.
- Combined surgical approaches may be increasingly performed without raising complication rates.
Guideline-Based Recommendations
Diagnosis
- Clinical assessment including gynecological and bimanual examinations.
Management
- Transvaginal mesh pelvic floor reconstruction with concurrent rectopexy.
Monitoring & Follow-up
- Follow-up for recurrence and complications post-surgery.
Risks
- Potential for mesh erosion, exposure, and pain associated with early-generation meshes.
Patient & Prescribing Data
Women aged ≥60 years with recurrent or primary severe POP.
TVM is indicated for complex multi-compartment prolapse in selected cases.
Clinical Best Practices
- Utilize a holistic approach to pelvic floor reconstruction.
- Consider individualized treatment plans based on patient history and presentation.
- Monitor for complications and recurrence post-surgery.
Related Resources & Content
