Review of Vaginal Approaches to Apical Prolapse Repair

Lannah L. Lua-Mailland, Shannon L. Wallace, Fatima A. Khan, Jasmine J. Kannikal, Joseph M. Israeli, Raveen Syan

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Purpose of Review: To review recent literature and provide up-to-date knowledge on new and important findings in vaginal approaches to apical prolapse surgery. Recent Findings: Overall prolapse recurrence rates following transvaginal apical prolapse repair range from 13.7 to 70.3% in medium- to long-term follow-up, while reoperation rates for prolapse recurrence are lower, ranging from 1 to 35%. Subjective prolapse symptoms remain improved despite increasing anatomic failure rates over time. The majority of studies demonstrated improvement in prolapse-related symptoms and quality of life in over 80% of patients 2–3 years after transvaginal repair, with similar outcomes with and without uterine preservation. Contemporary studies continue to demonstrate the safety of transvaginal native tissue repair with most adverse events occurring within the first 2 years. Summary: Transvaginal apical prolapse repair is safe and effective. It is associated with long-term improvement in prolapse-related symptoms and quality of life despite increasing rates of prolapse recurrence over time. Subjective outcomes do not correlate with anatomic outcomes.

Original languageEnglish (US)
Pages (from-to)335-344
Number of pages10
JournalCurrent Urology Reports
Issue number12
StatePublished - Dec 2022
Externally publishedYes


  • Apical prolapse
  • Pelvic organ prolapse surgery
  • Sacrospinous ligament fixation
  • Uterosacral ligament suspension
  • Vaginal colpopexy
  • Vaginal hysteropexy

ASJC Scopus subject areas

  • Urology


Dive into the research topics of 'Review of Vaginal Approaches to Apical Prolapse Repair'. Together they form a unique fingerprint.

Cite this