Anatomical and functional outcomes of combined ventral rectopexy and sacrocolpo/hysteropexy for multicompartment pelvic organ prolapse: a systematic review and meta-analysis - Summary - MDSpire

Anatomical and functional outcomes of combined ventral rectopexy and sacrocolpo/hysteropexy for multicompartment pelvic organ prolapse: a systematic review and meta-analysis

  • By

  • Alessandro Ferdinando Ruffolo

  • Tomaso Melocchi

  • Chrystèle Rubod

  • Yohan Kerbage

  • Giuseppe Campagna

  • Sara Mastrovito

  • Alfredo Ercoli

  • Giovanni Panico

  • Michel Cosson

  • Marine Lallemant

  • December 8, 2025

  • 0 min

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Objective:

To assess the anatomical and functional outcomes of combined ventral rectopexy and sacrocolpo/hysteropexy for the treatment of multicompartmental pelvic organ prolapse, highlighting its clinical significance.

Key Findings:
  • Combined ventral rectopexy and sacrocolpo/hysteropexy significantly improve anatomical and functional outcomes, with statistical significance noted.
  • Minimally invasive techniques lead to shorter hospital stays and faster recovery.
  • Anatomical POP recurrence was defined as postoperative POP of any compartment ≥ II stage, with recurrence rates provided.
Interpretation:

The combined surgical approach is effective in treating multicompartment pelvic organ prolapse, improving both anatomical and functional outcomes.

Limitations:
  • Paucity of robust data; most studies included were retrospective, potentially affecting the reliability of outcomes.
  • Potential biases in non-randomized studies may skew results.
Conclusion:

The systematic review supports the efficacy of combined ventral rectopexy and sacrocolpo/hysteropexy in managing multicompartment pelvic organ prolapse, warranting further research, particularly in randomized controlled trials.

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