The operative management of rectal prolapse has evolved substantially over time. Many patients with rectal prolapse also have concomitant prolapse of their anterior and/or middle compartments. Optimal repair of pelvic organ prolapse will address all of the involved compartments, which often requires close collaboration with a urogynecology or female urology team. This chapter describes our technique for robotic ventral mesh rectopexy with sacrocolpopexy when indicated.Operative repair remains the optimal treatment for rectal prolapse, and multiple techniques have been described. As our understanding of pelvic floor anatomy and function has expanded, so has our recognition that rectal prolapse often occurs in the setting of laxity or prolapse of the bladder, vagina, and uterus, a phenomenon known as multicompartment pelvic organ prolapse. Restoring normal anatomy in this case requires collaboration between colo-rectal surgeons and urogynecologists or female urologists. Our preferred method for repair is robotic ventral mesh rectopexy with combined sacrocolpopexy when indicated. Here we describe our approach.
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