Laparoscopic pelvic organ prolapse repair by mesh interposition following radical cystectomy

Introduction: The present study aims to introduce laparoscopic treatment by the interposition of polypropylene mesh for a pelvic organ prolapse in females following radical cystectomy for treating muscle-invasive bladder carcinoma.

Case presentation: The patients included two women aged 77 and 79 years with symptomatic enterocele following radical cystectomy and ileal conduit urinary diversion. We performed laparoscopic sacrospinous colpopexy using polypropylene and polypropylene/ePTFE composite meshes.

Conclusion: No recurrent prolapse occurred during 26 and 14 months of follow-up after the operation. No severe perioperative complications were noted. This is a first report on cases of laparoscopic sacrospinous colpopexy for post-cystectomy pelvic organ prolapse. Our procedure could be safely performed in two patients with post-cystectomy pelvic organ prolapse.