Case Report

Approach to concomitant rectal and uterine prolapse: case report

10.5152/jtgga.2011.67

  • Ateş Karateke
  • Pınar Batu
  • Mehmet Reşit Asoğlu
  • Selçuk Selçuk
  • Çetin Çam

Received Date: 11.08.2010 Accepted Date: 24.09.2010 J Turk Ger Gynecol Assoc 2012;13(1):70-73 PMID: 24627680

The classic description of rectal prolapse is a protrusion of the rectum beyond the anus. Peaks of occurrences are noted in the fourth and seventh decades of life, and most patients (80-90%) are women. The condition is often concurrent with pelvic floor descent and prolapse of other pelvic floor organs, such as the uterus or the bladder. In this study, two cases having contraindication to general anesthesia with rectal and uterine prolapse are presented. These cases were operated on under local anesthesia with support of sedation by Leforte and Delorme’s operation at the same time. In conclusion; pelvic floor disorders should be considered as a whole, and surgical correction of rectal prolapse and uterine prolapse may be done at the same time under local anesthesia with the support of sedation. Performance of these operations by experienced and trained pelvic reconstructive surgeons may be advocated.

Keywords: Rectal prolapse, Delorme’s operation, local anesthesia