Abstract
An ectopic kidney occurs due to abnormal renal ascent during embryologic development. The objective of this video is to demonstrate a sacrocolpopexy modification for a known right-sided pelvic kidney in a patient with recurrent prolapse less than one year after vaginal native tissue repair. After patient-centered counseling, she opted for laparoscopic sacrocolpopexy. Intraoperatively, the pelvic kidney was overlying the sacrum precluding the right-sided pre-sacral space and retroperitoneal dissection. The rectosigmoid colon and rectum were dissected off the sidewall and posterior vagina. After bladder dissection and vaginal mesh attachment, the sacral arm was tacked to the anterior longitudinal ligament.
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