Surgical technique
For the laparoscopic sacrocolpopexy procedure, after vaginal or laparoscopic hysterectomy was performed, the anterior vaginal wall was dissected up to the bladder neck, and the posterior vaginal wall was dissected up to the distal levator ani muscle level. The sacral promontory was identified and the overlying peritoneum was opened up to the vaginal cuff laterally to the rectum and medially to the right uterosacral ligament. A Y-shaped, 15 cm-long, 3 cm-width type 1 polypropylene mesh was transfixed to the anterior and posterior vaginal walls with a 4-6 polyglactin suture in each wall. The free arm of the Y mesh was fixated to the anterior longitudinal ligament of the sacrum with two separate no. 1 polypropylene sutures. The mesh was then peritonealized with absorbable interrupted extracorporeal sutures.