Obliterative Surgery for Vaginal Prolapse: An Update

Purpose of ReviewPelvic organ prolapse is a common diagnosis especially within the older female population. There are many options for treatment; this article provides a comprehensive review of new and contributory literature on obliterative surgeries as well as a review of their unique advantages and disadvantages compared to non-surgical options and other reconstructive surgeries.Recent FindingsRecent literature on obliterative surgeries for pelvic organ prolapse provides further information on body image, post-operative regret, and sexual function after obliterative surgery. In addition, a unique post-operative complication of de novo rectal prolapse is highlighted.Obliterative surgery is a valuable option for an older woman with pelvic organ prolapse who may benefit from a shorter and safer surgery that provides a durable repair. These patients must be appropriately screened and informed of the loss of ability to have penetrative vaginal intercourse, possible intraoperative complications, the impact on body image, as well as the risk de novo rectal prolapse.