Abdominal Sacralcolpopexy (ASC) - The ASC is performed through an abdominal incision (about 3-4 inches long), laparoscopically (through 4 half inch incisions) or robotically. In this procedure straps of graft material are used to reinforce the front and back walls of the vagina. These straps are then attached to a strong ligament overlying the sacrum. The end result is that the vagina is suspended over the pelvic muscles to the back-bone. The mesh graft straps replace the original natural support provided by the uterosacral ligaments. In our practice, we have found the da Vinci to be a perfect tool to complete this difficult operation thru small incisions.