ABSTRACT
As the population gets older and aging is a major risk factor for pelvic organ prolapse, the future will be overloaded with a mass of pelvic prolapse repair operations. Many techniques for anterior and posterior vaginal wall repair via vaginal or abdominal approach have been described, all of them with their respective advantages and disadvantages. In this chapter, the author's describe their minimally invasive technique of laparoscopic colpopromontofixation. As one of the major goals of prolapse surgery is maintenance of or improvement of the patient's urinary, bowel, and sexual function, the patient's desire for preservation of coital, menstrual, and reproductive function should be discussed appropriately before surgery. Isolated anterior or posterior defects in older patients may remain an indication for vaginal repair. With modern anesthesiology, there are no real contraindications for this operation. Relative contraindications are history of multiple operations in the small pelvis, severe cardiac failure, and chronic pulmonary obstructive disease.
