Tag Archives: perineorrhaphy

General Surgery, Ob/Gyn, Print Release

PUBLISHED: Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy

Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy
Emily C. Von Bargen, DO; Patricia L. Hudson, MD; Lori R. Berkowitz, MD
Massachusetts General Hospital

This is the case of a 74-year-old female who presented with bothersome stage III pelvic organ prolapse. She desired definitive surgical management for her prolapse and opted for total vaginal hysterectomy, uterosacral ligament suspension, and anterior/posterior vaginal repairs. She had urodynamic testing before the surgery that showed no stress urinary incontinence, no detrusor overactivity, and normal bladder capacity. The surgery was uncomplicated. She was discharged home the same day as surgery, and her postoperative recovery was unremarkable.

General Surgery, Ob/Gyn, Print Release, Uncategorized

PUBLISHED: Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele

Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele

Lori R. Berkowitz, MD
Mass General Hospital

Patricia L. Hudson, MD
Massachusetts General Hospital

This patient is a 38-year-old female who presented with fecal incontinence, constipation, and stress urinary incontinence. She was found to have stage II posterior vaginal wall prolapse. She desired definitive surgical management of her prolapse and opted for posterior vaginal repair. Although stress urinary incontinence was demonstrated on urodynamic testing, the decision was made not to proceed with concurrent midurethral sling given her history of pelvic floor dyssynergia and intermittent urinary retention. Here, Dr. Berkowitz and Dr. Hudson at MGH present and demonstrate a site-specific posterior colporrhaphy and perineorrhaphy.

General Surgery, Ob/Gyn, Print Release, Uncategorized

PUBLISHED: Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy for Rectal Prolapse

Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy for Rectal Prolapse

Marcus V. Ortega, MD;Emily C. Von Bargen, DO; Liliana Bordeianou, MD

Massachusetts General Hospital

This is the case of an 87-year-old female who presented with a history of constipation and bothersome rectal prolapse that required manual rectal prolapse reduction. She had minimal constipation and minimal incontinence, and anorectal manometry revealed low rectal pressures. On exam, she was found to have full-thickness rectal prolapse and stage II posterior vaginal wall pelvic organ prolapse. Gynecological POP-Q exam showed mostly posterior prolapse and some apical prolapse, and urodynamic testing was negative. Defacography revealed an enterocele. Here, Dr. Bordeianou and Dr. Von Bargen at MGH 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.

Ob/Gyn, Preprint Release

PREPRINT RELEASE: Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele


Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele
Massachusetts General Hospital

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

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

In this case, Dr. Berkowitz and Dr. Hudson perform a site-specific posterior colporrhaphy at MGH. The patient is a 38-year-old female who presented with fecal incontinence, constipation, and stress urinary incontinence, and was found to have stage II posterior vaginal wall prolapse. She desired definitive surgical management of her prolapse and opted for posterior vaginal repair.

Announcement, General Surgery, Ob/Gyn, Preprint Release

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.

Announcement, General Surgery, Ob/Gyn, Preprint Release

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.