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

Kobi Stav, Peter L. Dwyer, Anna Rosamilia, Yik N. Lim, Meny Alcalay

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


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.

Original languageEnglish
Pages (from-to)411-415
Number of pages5
JournalInternational Urogynecology Journal
Issue number4
StatePublished - Apr 2009
Externally publishedYes


  • Anterior
  • Cystectomy
  • Enterocele
  • Pelvic organ prolapse
  • Transvaginal


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