Rectus fascia colpopexy for complete prolapse of the vaginal vault after hysterectomy.

A simple operation, anterior abdominal wall colpopexy using autogenous strips of rectus fascia, to repair posthysterectomy prolapse of the vaginal vault, is described. It is mainly indicated for patients with complete vaginal eversion, in whom preservation of a physiologically useful vagina is highly desirable. Normal vaginal caliber and depth were secured and no recurrence has arisen in a series of nine patients operated upon for complete prolapse of the vaginal vault after hysterectomy, seven of whom have been followed up for six months to 12 years.