Colposacropexy with Prolene mesh

A retrospective analysis of 59 patients who underwent colposacropexy (CSP) using Prolene (polypropylene) mesh is presented. Fifty-eight of the patients had undergone previous surgical treatment, including either vaginal or abdominal hysterectomy. Twenty-two patients underwent CSP alone, 24 had CSP and retropubic urethropexy (RPU), eight had CSP with anterior or posterior repair, or both, and five had CSP and RPU with anterior and posterior repair. The operations were associated with a minimum of intraoperative complications and acceptable postoperative problems. A postoperative questionnaire was sent to the patients with an 89 per cent response rate. None of the patients complained of protrusion from the vagina. It is concluded that, in the hands of experienced surgeons, CSP is a safe, efficacious operative procedure that should remain the procedure of choice for vaginal vault prolapse since it restores the normal vaginal axis, maintains existing vaginal length and provides permanent care.