ABSTRACT
Sacrospinous vaginal vault suspension has been utilized for the repair of vaginal vault prolapse
for several decades-first described in Europe in 1958 (1), and later introduced to the United
States in 1971 (2). Long-term support of the vaginal apex can be achieved in 81-100% of
cases (3-6) even in the presence of severely attenuated pelvic supports, with anatomic and
sexual function effectively maintained in the vast majority of cases. Maintaining familiarity
with variations of surgical technique, and key anatomical landmarks, will help the reconstructive
surgeon to maximize the efficacy and safety of this operation.
