LAPARO-VAGINAL TREATMENT OF UTERINE PROCIDENTIA

The following is a description of a combined vaginal and laparoscopic repair of vaginal eversion with uterine prolapse (procidentia). There are few procedures that seek to correct the condition while preserving vaginal function. Among them are (1) vaginal approach for sacrospinou s fixation, (2) abdominal sling procedures, and (3) abdominal and lapa roscopic approaches for promontorial fixation. We are presenting a tec hnical report of a modified sling procedure done via laparoscopy. This technique achieves the functional vaginal reconstruction and avoids t he potentially dangerous bleeding associated with the sacral fixation. It has also been our experience that the sacrospinous fixation techni que affords limited visual exposure, and henceforth the laparoscopic v aginal sling procedure may be a better alternative.