ABSTRACT

Introduction of a new technique for vaginal vault prolapse; abdominal sacral colpoperineopexy.

A forty two years old G4 P3 women was referred to our hospital 6 months after vaginal hysterectomy in another hospital. Gynecological examination revealed 4th degree vaginal vault prolapse.

On lithotomy position, abdominal cavity was entered using pfannensteil incision. Protruded vaginal vault was pushed back to abdomen. After a one cm incision was made 2 cm lateral to each side of the vestibule of the vagina, a long straight needle was introduced into this opening and pushed thru the submucosa of the vagina, and entered to the abdomen. One end of a prolen mesh was attached to the tip of the Stamey needle, pulled back to the perineum and attached to fascia of perineum. The other end of the prolen mesh was initially attached to vaginal vault and then to the presacral fascia at the level of S3.

Abdominal sacral colpoperineopexy can be an alternative tecnique to other surgical methods for treatment of vaginal vault prolapse.

Keywords: Vaginal vault prolapse, abdominal sacral colpoperineopexy, colpopexy