Abdominal Sacral Colpoperineopexy Technique for Vaginal Vault Prolapse

Aksakal O. S., Ugur M., Yilmaz B., Yesilyurt H., Mollamahmutoglu L.

JOURNAL OF THE TURKISH-GERMAN GYNECOLOGICAL ASSOCIATION, vol.8, no.3, pp.328-331, 2007 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 8 Issue: 3
  • Publication Date: 2007
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.328-331
  • Keywords: vaginal vault prolapse, abdominal sacral colpoperineopexy, colpopexy
  • Recep Tayyip Erdoğan University Affiliated: No


A forty-two year 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 Pfannenstiel incision. Protruded vaginal vault was pushed back to abdomen. After a 1 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 through 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.