Abstract: To present the acheviement of the a classical procedure - coplopsacopexy by means of minimally invasive technique involving combined laproscopic and vaginal approach. Between 2007-2009, Colpo-histerosacropexy by totally laparoscopic or vaginal-laparoscopic method was performed on 14 patients with advanced uterovaginal prolapse and recurrent IInd grade prolapse.
The therapeutic principle was the recovery of the pericervical ring and suspension of the vaginal vault/uterus to the promontory. The operating time was significantly reduced when a combined vaginal-laparoscopic procedure was performed, versus the to tal ly laparoscopic technique. Preoperative symptoms spe cific to the flaws of the anterior, medium and posterior com partment totally remitted postoperative. The suspension of the vaginal vault or pericervical area to the promontory remains a gold technique in the treatment of the advanced uterine prolapse. Performing this procedure laparoscopically or combined makes it the microinvazive technique with the highest success rate. Keywords: pelvic organ prolapse, colposacropexy, laparoscopic prolapse repair