Inclusion Criteria:  Histologically proven locally advanced or recurrent pelvic cancer (all subtypes - Rectal, Urological, Gynae, Sarcome) Aged over 18 years Undergoing a multi-visceral extended pelvic resection and requiring gynaecological reconstruction at the time of index operation Time period: 1st July 2016 - 31st July 2021  Exclusion Criteria:  Strong evidence of metastatic or peritoneal disease No histological evidence of gynaecological organ involvement Procedure not carried out with curative intent Insufficient patient follow-up (Minimum of 30 days)