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Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy

Liliana G. Bordeianou, MD; Emily C. Von Bargen, DO
Massachusetts General Hospital

The patient in this case is an 87-year-old female with rectal prolapse. She had minimal constipation and minimal incontinence, and anorectal manometry revealed low rectal pressures. Gynecological POP-Q exam showed mostly posterior prolapse and some apical prolapse, and urodynamic testing was negative. Defecography revealed an enterocele. Here, Dr. Bordeianou and Dr. Von Bargen discuss the decision-making process when treating rectal prolapse and perform a laparoscopic suture rectopexy with culdoplasty, vaginal wall repair, and perineorrhaphy with levator plication.

Main text coming soon.