Vaginal McCall culdoplasty versus laparoscopic uterosacral plication to prophylactically address vaginal vault prolapse

Table 7 Anterior compartment prolapse following laparoscopic hysterectomy and uterosacral plication

Original operation	Management
Laparoscopic hysterectomy and uterosacral plication and posterior colporrhaphy	Anterior colporrhaphy
Laparoscopic hysterectomy and uterosacral plication	Anterior colporrhaphy
Laparoscopic hysterectomy and uterosacral plication	Anterior colporrhaphy
Laparoscopic hysterectomy and uterosacral plication and anterior colporrhaphy	Anterior colporrhaphy
Laparoscopic hysterectomy and uterosacral plication and paravaginal repair	Laparoscopic paravaginal repair
Laparoscopic hysterectomy and uterosacral plication	Laparoscopic paravaginal repair
Laparoscopic hysterectomy and uterosacral plication and anterior colporrhaphy	Vaginal Elevate mesh
Laparoscopic hysterectomy and uterosacral plication	Conservative—no treatment
Laparoscopic hysterectomy and uterosacral plication and paravaginal repair	Conservative—no treatment
Laparoscopic hysterectomy and uterosacral plication	Pessary
Laparoscopic hysterectomy and uterosacral plication	Pessary

Four patients (5.4%) have had de novo posterior compartment prolapse; three have opted for surgical repair