title: Laparoscopic Nerve-Preserving Colposacropexy for Surgical Management of Neovaginal Prolapse.
abstract: BACKGROUND
  Neovaginal prolapse occurs rarely, and a standard treatment has not yet been defined.
  
  
  METHODS
  We report 2 cases of patients with vaginal agenesis with a symptomatic neovaginal prolapse; one occurring 25 years after self-dilation and another occurring 24 years after sigmoid vaginoplasty. At 48 and 18 months after surgical treatment with laparoscopic nerve-preserving colposacropexy using 2 types of mesh and 2 kinds of sutures to anchor the mesh at the neovaginal wall, both women are asymptomatic and highly satisfied with the result, without prolapse recurrence or mesh/suture erosion.
  
  
  CONCLUSIONS
  For the surgical management of neovaginal prolapse after sigmoid vaginoplasty and vagina creation after self-dilation, we recommend the nerve-preserving sacrocolpopexy as a safe method to achieve durable functional outcomes and good anatomic vaginal level I and II support.
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany.
authors.forename: Verena
authors.initials: V
authors.lastname: Henninger
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany. Electronic address: christl.reisenauer@med.uni-tuebingen.de.
authors.forename: Christl
authors.initials: C
authors.lastname: Reisenauer
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany.
authors.forename: Sara Y
authors.initials: SY
authors.lastname: Brucker
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital Tübingen, Tübingen, Germany.
authors.forename: Katharina
authors.initials: K
authors.lastname: Rall
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications / Q000601:surgery*; D000328:Adult; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D019736:Prostheses and Implants; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Laparoscopic nerve-preserving colposacropexy; Neovaginal prolapse