الفهرس 
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Abstract
Objective: To determine the role of intravaginal slingoplasty in
management of posthysterctomy vault prolapse or uterine
prolapse associated with vault prolapse, aiming to relief of
symptoms, restablishment of function. Without discomfort
and preserve fertility during childbearing period.
Methed: This study included thirty patient suffering form vault prolapse,
The idea of the procedure is to insert an 8 mm polypropylene
tape between the perineum and the vaginal vault. The
resulting artificial neoligament reinforces the atrophied
uterosacral]~atnent
Results: thirty patients with vault prolapse were treated by intravaginal
sllngoplasty. Eight patients with posthysterectomy vault
prolapse and twenty two patients with uterine prolapse
associated with vault prolapse. Twenty four patients had
anterior vaginal wall defect and anterior repair was done
with insertion of tension free vaginal mesh (TVM) only one
case of Twenty fours cases had recurrence of anterior
vagina! wall relaxation. One case out of eight patients with
vault prolapse recurrence occurred, Alsoonecase out of
twenty two patients recurrence occurred. Pregnancy has
occurred in two cases from the twenty two patients with
uterine prolapse,
Conclusion: this surgery is suitable for the young low parous women and
is considered a simple and safe technique for the treatment
of vault prolapse or uterine pro lapse in young women .