Correction of genital prolapse

Massive eversion of the vagina is one of the most disturbing disorders confronting a woman. It is a complex disorder that always coexists with other pelvic floor defects. The management is almost always surgical, and all defects must be repaired concomitantly. Current surgical practice relies primarily on the strength of the endopelvic fascia and certain ligaments, which clearly is not ideal for providing the kind of support needed. Current understanding of the neurophysiology, neuroanatomy, and biophysics of the pelvic floor give us hope that management will be more effective in the future. Laparoscopic repair techniques are described.