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Massive vaginal prolapse in ten post-hysterectomy women was treated by expanded polytetrafluoroethylene graft along the course of the round ligaments to anchor the vaginal vault to the lateral abdominal wall. Concurrent enterocele repair was done as well as other indicated abdominal or vaginal operations. Satisfactory coitus was reported in all cases. The procedure is technically simple and provides an alternative to sacral suspension or sacrospinous ligament suspension of the prolapsed vaginal vault.

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