Abstract
The surgical management of symptomatic uterovaginal prolapse in young women is a special problem, especially when the patient desires to preserve uterine function, childbearing potential and satisfactory sexual function. Approaches include trans-abdominal construction of a sacrocervical ligament with transplanted fascia lata few x moris 1 and transvaginal sacrospinous fixation of w x the uterosacral ligaments 2 . The trans-vaginal w x approach developed by Kovac and Cruikshank 2 is claimed to be less time consuming and has less morbidity than abdominal surgery. With the advent of laparoscopic surgery, it may offer a minimally invasive approach to this problem with the possibility of reducing the risk for intra-abdominal adhesion formation. Laparoscopic sacral colpopexy has been used for the w x repair of vaginal vault prolapse 3 . Recently, laparoscopic high McCall colpopexy is also shown to be a useful alternative in the treatment of
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