ABSTRACT
The incidence of genital prolapse is estimated to be 25% when the leading edge of the prolapse is at the hymen or below.1 Management is determined by multiple factors, including concomitant compartmental defects, co-incidence of incontinence, and patient goals and expectations. Conservative therapy consists of space-occupying pessaries. Surgical therapy incorporates many principles of abdominal wall hernia repair applied to advanced vaginal and pelvic reconstructive procedures.
