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Ninety-five patients with vaginal vault prolapse were randomly assigned to having either an abdominal sacral colpopexy with Prolene mesh or unilateral sacrospinous colpopexy. All patients in both groups with stress incontinence also had Burch colposuspension. The abdominal approach was associated with longer operating room time, higher cost, and longer convalescence.

Abdominal and Vaginal Colpopexy Comparable for Vault Prolapse