Tag Archives: perineorrhaphy

PREPRINT RELEASE: Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy


Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy
Massachusetts General Hospital

Liliana G. Bordeianou, MD
Associate Professor of Surgery
Harvard Medical School

Emily C. Von Bargen, DO
Female Pelvic Medicine and Reconstructive Surgery Associate Fellowship Director
Harvard Medical School

The patient in this case is an 87-year-old female with rectal prolapse. She had minimal constipation and minimal incontinence, and anorectal manometry revealed low rectal pressures. Gynecological POP-Q exam showed mostly posterior prolapse and some apical prolapse, and urodynamic testing was negative. Defecography revealed an enterocele. Here, Dr. Bordeianou and Dr. Von Bargen discuss the decision-making process when treating rectal prolapse and perform a laparoscopic suture rectopexy with culdoplasty, vaginal wall repair, and perineorrhaphy with levator plication.

PREPRINT RELEASE: Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy


Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy
Massachusetts General Hospital

Emily C. Von Bargen, DO
Female Pelvic Medicine and Reconstructive Surgery Associate Fellowship Director
Harvard Medical School

Patricia L. Hudson, MD
Female Pelvic Medicine and Reconstructive Surgery Fellow
Harvard Medical School

Lori R. Berkowitz, MD
Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology
Harvard Medical School

This is the case of a 75-year-old multiparous female with stage 3 uterovaginal prolapse. Here, Dr. Emily Von Bargen performs a vaginal hysterectomy, uterosacral ligament suspension, anterior repair, and perineorrhaphy in order to alleviate this patient’s symptoms.