ABSTRACT
Laparoscopic sacrocolpopexy (LSC) procedure combines the accepted effectiveness of abdominal sacrocolpopexy over vaginal operations for vault prolapse with the significant benefits of laparoscopic surgery. Various methods of attaching the prosthesis onto the sacral promontory at LSC have been reported. The sacral promontory and presacral space are usually covered by the sigmoid colon. Ideally, the prosthesis used for LSC should be durable over a patient's lifetime, user-friendly, and cost-effective and have minimal risk of complications including exposure, extrusion, infection, chronic inflammation, tissue contraction, pain, and dyspareunia. There are a number of studies that have addressed the optimal type of suture material to attach the mesh to the vagina. The principles of LSC may be applied to uterovaginal prolapse by combining LSC with either laparoscopic total hysterectomy or subtotal hysterectomy. Urodynamic assessment is appropriate for women with symptomatic stress incontinence and vaginal vault prolapse.
