الفهرس 
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Abstract
Pelvic organ prolapse is the descent of one or more aspects of the vagina and uterus. Rectal prolapse is the protrusion of the rectum through the anal canal, while multiple pelvic organ prolapse is combined prolapse of more than one pelvic organ.
The treatment of prolapse of multiple pelvic organs is ideally surgical. Vaginorectopexy is a modification of the classical ventral mesh rectopexy which may be used in case of combined prolapse of multiple pelvic organs where a polypropylene mesh is used to support pelvic tissues and repair prolapse.
The present study was designed to assess the feasibility of open abdominal mesh vaginorectopexy in the repair of multiple pelvic organ prolapse.
Twenty female patients with a mean age of 44.1 years, and a median of 2 vaginal deliveries were included in this study. They complained of obstructed defecation (100%), urinary symptoms in the form of dysuria and urgency (90%), complete rectal prolapse (70%), urinary incontinence (60%), fecal incontinence (50%), and uterine prolapse (50%).
Dynamic pelvic MRI showed that 70% of cases had complete external rectal prolapse, 30% had concealed rectorectal intussusception, 100% had cystocele, 80% had rectocele, 50% had uterine prolapse, 70% had anismus, and 70% had thinning of one or more of anal sphincter complex components. Pudendal nerve conduction also revealed that 60% of cases had pudendal neuropathy