Vaginal hysterectomy with repair of enterocele, cystocele, and rectocele.

There are several equally effective but different operative procedures to correct uterine procidentia; the technique and operative approach must be chosen according to the specific needs of the patient. The surgeon must be able to dissect, identify, resect, and approximate the appropriate supporting structures. To preserve a functional vagina in a patient with complete procidentia, the surgeon must have a full understanding of the principles of pelvic support. If a functional vagina is unimportant, then a tight, coned-down vagina (one finger in depth and diameter) offers the best long-term results.