Prosthesis ventral colpo-recto-pexy for the restoration of the recto-anal anatomic disorders

There is a variety of anatomical deformities of the posterior pelvic compartment that associate functional disorders of the anorectum. The most common are: anterior rectocele, internal rectal prolapse (recto-anal intussusception), sigmoidcele and enterocele and overt rectal prolapse. There are a number of procedures employed in the treatment of mentioned disorders. One of them is laparoscopic prosthesis ventral colpo-rectopexy. Current evidence on this procedure is rather limited, because quality of studies is of low level and comparative trials are very few. Nevertheless, it is well documented that this procedure for mentioned is a safe procedure with very low morbidity, one death reported so far, and low conversion-to-open approach rate. Complications associated with the synthetic prosthesis (erosion or sepsis) are rare, and use of biological mesh does not seem to offer any advantage. Conversion is very low and usually as a result of previous pelvic surgery. The procedure is safe with low morbidity, short hospital stay and very low recurrence rate of overt rectal prolapse. Functional outcomes, namely constipation, obstructed defecation syndrome, incontinence and sexual dysfunction decrease in rates postoperatively.