Retroperitoneal sacrocolpopexy for correction of prolapse of vaginal vault.

The problem of prolapse of vaginal vault has a clearly defined anatomic basis and so does it surgical restoration. Herein, we present our experience with a technique that is a modification of the abdominal sacrocolpopexy of Randall and Nichols. Our procedure is characterized by the use of a segment of Teflon (polytetrafluoroethylene) vascular prosthesis placed in the retroperitoneum at the sacral concavity to fasten the vaginal vault to the promontory. We have obtained excellent results with its application in 18 patients, who had a return to normal sexual activity and no recurrences during a follow-up period of 36 months.