Middle and Anterior Pelvic Compartment: Issues for the Colorectal Surgeon
Key Concepts
- When considering pelvic organ prolapse, the pelvis is divided into anterior, middle, and posterior compartments. The anterior and middle compartments are typically more susceptible to pelvic organ prolapse.
- When considering surgical intervention, looking at the pelvis as a whole and considering all compartments is desired. Therefore a multidisciplinary approach offers the chance to coordinate testing and plan treatment.
- Urogynecologists use a designation called the Pelvic Organ Prolapse Quantification (POP-Q) exam to objectively describe and stage middle compartment prolapse.
- From the gynecology, urogynecology, or urology standpoint, addressing the middle and anterior compartments can be performed via transvaginal route when indicated. For posterior compartment surgeons, this may be combined with a perineal approach to rectal prolapse.
- An abdominal approach, either open, laparoscopic, or robotic, can combine surgeons with technical expertise from all three compartments and allow addressing all prolapse issues at the same operation.
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Last updated: January 26, 2022
Citation
Patterson, Danielle, et al. "Middle and Anterior Pelvic Compartment: Issues for the Colorectal Surgeon." ASCRS Textbook of Colon and Rectal Surgery, 2022. ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285062/all/Middle_and_Anterior_Pelvic_Compartment:_Issues_for_the_Colorectal_Surgeon.
Patterson D, Gearhart SL, Birnbaum E. Middle and Anterior Pelvic Compartment: Issues for the Colorectal Surgeon. ASCRS Textbook of Colon and Rectal Surgery. 2022. https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285062/all/Middle_and_Anterior_Pelvic_Compartment:_Issues_for_the_Colorectal_Surgeon. Accessed November 28, 2023.
Patterson, D., Gearhart, S. L., & Birnbaum, E. (2022). Middle and Anterior Pelvic Compartment: Issues for the Colorectal Surgeon. In ASCRS Textbook of Colon and Rectal Surgery https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285062/all/Middle_and_Anterior_Pelvic_Compartment:_Issues_for_the_Colorectal_Surgeon
Patterson D, Gearhart SL, Birnbaum E. Middle and Anterior Pelvic Compartment: Issues for the Colorectal Surgeon [Internet]. In: ASCRS Textbook of Colon and Rectal Surgery. ; 2022. [cited 2023 November 28]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285062/all/Middle_and_Anterior_Pelvic_Compartment:_Issues_for_the_Colorectal_Surgeon.
* Article titles in AMA citation format should be in sentence-case
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