Journal of the European Society for Gynaecological Endoscopy


Laparoscopic Posterior Vaginal Plication plus Sacral Colpopexy for Severe Posterior Vaginal Prolapse: a Step-by-Step Video-Article

A. Morciano1, G. Scambia2, A. Tinelli3, G. Marzo1

1 Panico Pelvic Floor Center; Department of Gynaecology and Obstetrics, Pia Fondazione “Card. G. Panico”, Tricase, Lecce, Italy
2 Department of Gynaecology and Obstetrics, Fondazione Policlinico Universitario “A. Gemelli”, Università Cattolica del Sacro Cuore, Roma, Italy
3 Department of Gynaecology and Obstetrics” Veris Delli Ponti” Hospital, Scorrano, Lecce, Italy


Posterior vaginal prolapse, laparoscopic sacral colpopexy, laparoscopic posterior plication

Published online: Dec 13 2023


Background: In 2023, our Centre validated a surgical approach for patients with anterior/apical prolapse associated with severe posterior colpocele, using a laparoscopic posterior vaginal plication (LPP) combined with standard sacral colpopexy (LSC), demonstrating significant benefits in terms of anatomical repair.

Objectives: A step-by-step video demonstration of Laparoscopic Posterior Vaginal Plication (LPP) combined with “two-mesh” Sacral Colpopexy (LSC).

Materials and Methods: Surgical technique of a LSC with 2 separate meshes is described.

Results: This video-article describes, with a step-by-step approach, a combined prosthetic and fascial laparoscopic technique to treat severe posterior colpocele.

Conclusions: LPP can be considered a feasible procedure during a standard LSC in patients with concomitant severe posterior prolapse.