Peer-reviewed veterinary case report
Using repeated laparoscopic pectopexy (LP) for treating recurrent pelvic organ prolapse after previous LP.
By Liu YC et al.·2026·Department of Obstetrics and Gynecology·View original on Europe PMC →
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Plain-English summary
A 68-year-old woman had a problem called pelvic organ prolapse, where her pelvic organs were dropping down, which was happening again two years after she had surgery to fix it. She noticed a lump in her vagina and had trouble emptying her bladder completely. To fix this, doctors performed another surgery using a method called laparoscopic pectopexy, along with another procedure to support the vaginal wall, and the surgery went smoothly with very little blood loss. After three days in the hospital, she went home, and six months later, her condition improved significantly, with no more bladder issues and a much better quality of life. Overall, the repeated surgery worked well for her without causing any complications.
Abstract
<h4>Objective</h4>Using repeated laparoscopic pectopexy with anterior colporrhaphy for treating woman with recurrent stage III pelvic organ prolapse (POP) who was complicated with a detached mesh from prior pectopexy.<h4>Case report</h4>A 68-year-old woman presented in 2024 with recurrent stage III POP two years after laparoscopic subtotal hysterectomy and laparoscopic pectopexy (LP). She reported a vaginal mass and voiding difficulty associated with 250 mL post-void residual urine. Repeated LP and anterior colporrhaphy were conducted, due to a detached mesh from the cervical stump, with intact pectineal ligament anchors, with taking 120 min of the operation time and minimal blood loss. She was discharged on day 3. At six months, POP-Q stage 0 was achieved, voiding symptoms resolved (15 mL residual), and quality of life improved without complications.<h4>Conclusion</h4>Repeated LP seemed to effectively correct recurrent POP, offering durable outcomes with minimal morbidity.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41813393