Repair of genitourinary prolapse in women

One hundred thirty-five cases of urogenital prolapse repair are reviewed from the literature over a period from October 1989 to July 1990. Different techniques and their complications are reviewed and compared. These include colposacropexy and sacrospinous ligament fixation with various techniques and materials. Recommendations are also made for prevention of failures. The necessity for preoperative urodynamic evaluation is discussed with suggestions for proper utilization. The data are summarized and critically reviewed, and recommendations are made for appropriate selection of technique, with a discussion of advantages, disadvantages, and prevention of complications.