Transvaginal single-pathway composite reconstruction for pelvic organ prolapse combined with rectal prolapse: a case report - Takeaways - MDSpire

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

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  • 1

    Concomitant pelvic organ prolapse (POP) and rectal prolapse (RP) is rare, affecting 2.0% of POP patients and often overlooked in clinical practice.

  • 2

    A 76-year-old female underwent transvaginal mesh (TVM) pelvic floor reconstruction for severe POP and RP, achieving favorable outcomes at 18 months.

  • 3

    The modified TVM technique involved assembling TiLOOP mesh for anterior rectal wall fixation during pelvic floor reconstruction.

  • 4

    No recurrence or mesh-related complications were reported at the 18-month follow-up, suggesting the procedure's potential efficacy.

  • 5

    The study highlights the need for further research to validate the effectiveness of combined TVM pelvic floor reconstruction and rectopexy.

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