TITLE:
Vaginal Rectopexy for Rectal Prolapse in Advanced Pelvic Organ Prolapse: A Review of Surgical Strategies
AUTHORS:
Cheau Williams, Ebony Isagba, Mykala Jackson, Sabirah Smith, Alexandria Neal
KEYWORDS:
Pelvic Organ Prolapse, Cystocele, Rectocele, Vaginal Rectopexy, Biological Graft, Rectal Prolapse, Case Report
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.10,
September
30,
2025
ABSTRACT: Pelvic organ prolapse (POP) is a common condition in women, frequently involving the anterior or posterior vaginal compartments. While biologic grafts are increasingly used in cystocele repair, their application in rectocele repair remains rare and underreported. A 61-year-old female presented with fecal incontinence, mixed urinary incontinence, and symptomatic pelvic organ prolapse, including a stage II midline cystocele, rectocele, and suspected rectal prolapse. She was scheduled for anterior and posterior vaginal wall repair. This case illustrates a novel use of biologic grafting in rectocele repair with concurrent rectal prolapse management. While graft use in anterior repairs is becoming more common, its application in posterior compartment defects is less explored. This report contributes to the limited literature supporting biologic augmentation in complex posterior prolapse and highlights the need for further investigation into the long-term outcomes of biologic graft use in posterior compartment repairs.