Send to

Choose Destination
See comment in PubMed Commons below
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Apr;20(4):411-5. doi: 10.1007/s00192-008-0786-5. Epub 2008 Dec 17.

Transvaginal pelvic organ prolapse repair of anterior enterocele following cystectomy in females.

Author information

  • 1Department of Urogynaecology, Mercy Hospital for Women, Melbourne University, Melbourne, VIC, Australia.


This study aims to highlight pelvic organ prolapse (POP) in females following radical cystectomy and to describe our experiences with their management. This is a retrospective case series of five women who had symptomatic POP following radical cystectomy and ileal conduit urinary diversion. All patients presented with a midline anterior enterocele with atrophic ulcerated vaginal skin. One patient presented with small bowel evisceration and required an emergency surgical repair. The average time for presentation was 10.6 +/- 6.5 months after cystectomy. In all cases, repair was done via a transvaginal approach. Three patients underwent fascial repair, one colpocleisis, and one bilateral iliococcygeal repair. In three cases, we had to use mesh for reinforcement. Two patients underwent ancillary procedures because of POP recurrence. Surgical repair of POP in women following radical cystectomy is challenging especially if vaginal length is to be maintained. Transvaginal repair is feasible and using synthetic mesh may be necessary.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center