The objective was to evaluate abdominal colposacropexy using
Prolene mesh to correct total
vaginal vault prolapse or total procidentia. Between 1994 and 1997 we performed colposacropexy on 15 patients for simple
vaginal vault prolapse (in 7 cases after
hysterectomy) and for total
uterine prolapse in 8 cases. In these cases a simple abdominal
hysterectomy was performed. We simultaneously performed colposacropexy with colposuspension according to the Burch technique for
urinary stress incontinence in 6 cases. The colposacropexy technique consisted of isolating the vaginal apex and creating a retroperitoneal tunnel from the vagina to the sacral promontory. Between the vaginal cul de sac and the sacrum, a mesh of
Prolene is inserted and fixed with non-absorbable
sutures. The Foley
catheter was removed after 4-12 days (average 5). Average follow-up was 15 months. No
intraoperative complications occurred, and all patients who were sexually active have resumed normal sexual activity; no
infections or rejections of the
prostheses have been verified. We believe that it is very important to restore the normal anatomic support of the vaginal vault after
prolapse. This strong support is assured by fixing the vaginal apex to the periosteum of the sacrum using
Prolene mesh. Colposacropexy with
Prolene mesh is a safe and effective technique for the surgical
therapy of
vaginal vault prolapse.