Using repeated laparoscopic pectopexy (LP) for treating recurrent pelvic organ prolapse after previous LP.

OBJECTIVE

Using repeated laparoscopic pectopexy with anterior colporrhaphy for treating woman with recurrent stage III pelvic organ prolapse (POP) who was complicated with a detached mesh from prior pectopexy.

CASE REPORT: A 68-year-old woman presented in 2024 with recurrent stage III POP two years after laparoscopic subtotal hysterectomy and laparoscopic pectopexy (LP). She reported a vaginal mass and voiding difficulty associated with 250 mL post-void residual urine. Repeated LP and anterior colporrhaphy were conducted, due to a detached mesh from the cervical stump, with intact pectineal ligament anchors, with taking 120 min of the operation time and minimal blood loss. She was discharged on day 3. At six months, POP-Q stage 0 was achieved, voiding symptoms resolved (15 mL residual), and quality of life improved without complications.

CONCLUSION

Repeated LP seemed to effectively correct recurrent POP, offering durable outcomes with minimal morbidity.