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Sacral Colpopexy. 1  Sacral colpopexy is a surgical procedure designed for correction of prolapse of the vagina. It is an ideal procedure for those women who are sexually active but who have total prolapse of the vaginal canal. 2  The strap material used in the sacral colpopexy varies.
Colporrhaphy is the surgical repair of a defect in the vaginal wall, including a cystocele (when the bladder protrudes into the vagina) and a rectocele (when the rectum protrudes into the vagina). In this anterior colporrhaphy, a speculum is used to hold open the vagina, and the cystocele is visualized (A).The wall of the vagina is cut open to reveal an opening in the supporting structures, or fascia (B). The defect is closed (C), and the vaginal skin is repaired (D).olporrhaphy may be performed on the anterior (front) and/or posterior (back) walls of the vagina. An anterior colporrhaphy treats a cystocele or urethrocele, while a posterior colporrhaphy treats a rectocele.