A NEW LAPAROSCOPIC PROCEDURE FOR THE CORRECTION OF VAGINAL VAULT PROLAPSE

Purpose: We verified the feasibility and results of a new laparoscopic technique for repairing vaginal vault prolapse. Materials and Methods : Laparoscopic repair of vaginal vault prolapse was done in 12 women 4 6 to 82 years old. Stage 1 consisted of culdoplasty similar to that of Moschowitz. Stage 2 included a transverse incision of the peritoneum covering the vaginal vault to expose the vaginal fascia. Two sutures w ere then fixed to the vaginal corners, passed through the subperitonea l connective tissue and attached to the fascia of the abdominal muscle s with multiple stitches. Results: No intraoperative or postoperative complications occurred and anatomical repair was complete in all women . Followup ranged from 9 to 28 months. Sexual function was recovered i n all cases. Conclusions: If these results are confirmed in larger ser ies with a longer followup, our laparoscopic approach would be conside red a valid alternative to current surgical techniques.