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Purpose of Review <p>Pelvic organ prolapse (POP) and rectal prolapse (RP) often coexist yet have historically been treated as separate conditions. This review aims to evaluate outcomes of the combined surgical approach of anterior mesh rectopexy and sacrocolpopexy for combined POP and RP, with an emphasis on functional outcomes, safety, and long-term efficacy.</p> Recent Findings <p>Emerging data support a multidisciplinary and simultaneous surgical approach for managing POP and RP, particularly through minimally invasive, robot-assisted techniques. Combined procedures show high anatomical success rates (up to 91.5% for POP, 86.4% for RP), significant symptom relief measured by validated tools (PFDI-20, PISQ-12, PGI-I), and low complication rates (1.9–5.7%). Polypropylene mesh offers superior outcomes compared to native tissue repairs, although long-term complications such as mesh erosion, pelvic pain, and recurrence remain areas of concern. Risk factors include age, childbirth, hysterectomy, obesity, and prior pelvic surgeries.</p> Summary <p>The combined robot-assisted approach of anterior mesh rectopexy with sacrocolpopexy presents a safe and effective treatment for multicompartment pelvic floor prolapse and RP. Although current evidence is encouraging, further prospective and multicenter studies are needed to refine patient selection, compare surgical materials, and standardize perioperative management to optimize long-term outcomes.</p>

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Outcomes of Anterior Mesh Rectopexy with Sacrocolpopexy for Multi-compartment Prolapse

  • 期刊论文

  • 发表日期：

    2026年2月7日

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  • Lucas B. Vergamini,
  • Abigail Wagle,
  • Casey Kowalik,
  • Colby P. Souders

摘要

Purpose of Review

Pelvic organ prolapse (POP) and rectal prolapse (RP) often coexist yet have historically been treated as separate conditions. This review aims to evaluate outcomes of the combined surgical approach of anterior mesh rectopexy and sacrocolpopexy for combined POP and RP, with an emphasis on functional outcomes, safety, and long-term efficacy.

Recent Findings

Emerging data support a multidisciplinary and simultaneous surgical approach for managing POP and RP, particularly through minimally invasive, robot-assisted techniques. Combined procedures show high anatomical success rates (up to 91.5% for POP, 86.4% for RP), significant symptom relief measured by validated tools (PFDI-20, PISQ-12, PGI-I), and low complication rates (1.9–5.7%). Polypropylene mesh offers superior outcomes compared to native tissue repairs, although long-term complications such as mesh erosion, pelvic pain, and recurrence remain areas of concern. Risk factors include age, childbirth, hysterectomy, obesity, and prior pelvic surgeries.

Summary

The combined robot-assisted approach of anterior mesh rectopexy with sacrocolpopexy presents a safe and effective treatment for multicompartment pelvic floor prolapse and RP. Although current evidence is encouraging, further prospective and multicenter studies are needed to refine patient selection, compare surgical materials, and standardize perioperative management to optimize long-term outcomes.