A composite vaginal vault suspension using fascia lata.

A description of a composite procedure is offered as a further effort to have a safe, relatively easy, and dependable surgical operation for complete vaginal prolapse in the sexually active woman. The fact is generally accepted that the combination vaginal and surgical approach done at the same sitting gives a better chance for cure where either single approach has proved to be less dependable. Nothing startling new is claimed, but the selection of the homologous fascia lata as the suspending material used technically in a simple, safe manner is outlined. Twelve patients have had this procedure done in the past 4 years with no recurrence of the prolapsed vault and no complaint of dyspareunia by either partner. One patient has had recurrent enterocele even though effort had been made to prevent this. There has been no death in this series.