Peer-reviewed veterinary case report
Laparoscopic repair of uterine and rectal prolapse after buttock
By Soliza DY et al.·2026·Department of Urogynecology, Japan·View original on Europe PMC →
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Original publication title: Laparoscopic Reconstructive Repair of Uterine and Rectal Prolapse with Posterior Perineal Hernia after Wide Resection of Soft-tissue Sarcoma of the Buttocks: A Case Report.
Plain-English summary
In this case, a female dog had a rare condition where her uterus and rectum were falling out of place, along with a hernia in the area between her back legs. This happened after she had surgery to remove a type of cancer from her buttocks. To fix these problems, the veterinarians performed several surgeries using a minimally invasive technique, including removing the uterus and reinforcing the pelvic area with mesh. This approach not only aimed to correct the prolapse and hernia but also to strengthen the pelvic floor to prevent future issues and improve her overall quality of life. The treatment was successful in addressing her conditions.
Abstract
Pelvic organ prolapse (POP) with concomitant perineal hernia is an infrequent complication following the resection of soft-tissue sarcoma of the buttocks (BSTS). If present, these cases may be secondary to abdominoperineal resection for rectal carcinoma. Here, we report a rare case of uterine and rectal prolapse with posterior perineal hernia following extensive resection and flap placement for BSTS. We performed laparoscopic subtotal hysterectomy, sacrocolpopexy, and ventral rectopexy for POP reconstruction. In addition, mesh was placed on the pelvic surface of the sacrum to further reinforce the pelvic floor. Long-term benefits and efficiency are achieved through a multidisciplinary surgical approach that addresses both POP and perineal hernia, strengthens the pelvic floor, and may prevent recurrence while also improving patient quality of life.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41797950