Abstract
Pelvic organ prolapse (POP) will continue to become more prevalent as the female population ages and life expectancy increases. POP repair poses a challenging dilemma that is difficult to manage. Current research on various techniques of posterior compartment repair favors a transvaginal approach. Randomized trials have demonstrated its superiority when compared to transanal repair. Fascial defect reconstruction is superior to levator ani plication, although outcomes are comparable. However, site-specific fascial repairs are inferior to midline fascial plication. No randomized trials compare the transabdominal to transvaginal repair, although the laparoscopic approach has proven superior to transanal repair. The use of graft in posterior compartment repair enhances functional and surgical outcomes; however, mesh erosion, infection, and rejection may influence its use.
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