Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the uterus, bladder, or rectum) become weak or loose. This allows one or more of the pelvic organs to drop or press into or out of the vagina. This may cause much burden for females and affect their quality of life to a high extend.

Nine women with symptomatic pelvic organ prolapse entered the study. Inclusion criteria were signs and symptoms of obstructive defecatory syndrome including fecal incontinence, rectocele, rectal prolapse, enterocele, stress urinary incontinence, urinary urgency, distance of vaginal vault to sacro-pubic line. Patients underwent laparoscopic ventral rectopexy and colpopexy using mesh. We used specific Longo score to assess ODS and Wexner score to evaluate impairment of fecal incontinence before and after the operation. Data was analyzed using SPSS software version 22. P value less than 0.05 was considered as statistically significant.

Mean age of patients was 42.20 ± 12.11. No were in menopause. One patient had hysterectomy done. Symptoms of obstructed defecation were present in 7 patients (77.77 %), while 4 (44.44 %) had active fecal incontinence. Rectal prolapse found in 8 (88.88 %) patients during physical examination. Wexner and Longo scores before the operation were 14 ± 5.94 and 15.33 ± 5.07, which improved to 9.22 ± 5.52 and 8.89 ± 4.91 after the operation, respectively (Wilcoxon rank sum test; p= 0.086 and p= 0.030). Blood loss during the operations was almost null. There was a significant improvement in the descent of the perineum after the operation.

Laparoscopic ventral rectopexy concurrent with Colpopexy can be relatively effective in the treatment of patients with ODS syndrome. It provides an appropriate surgical approach for patients with pelvic organ prolapse.