Multiple modalities of enterocele repair are available depending on the anatomy, skill and preference of the surgeon, and need for additional abdominal or vaginal procedures. We have described our techniques for vaginal enterocele repair. Isolation and closure of the enterocele sac, along with proper repair of all of the prolapsed segments of the vagina, will result in optimal surgical results for the patient. Routine use of McCall culdoplasty after every hysterectomy would probably decrease the rate of iatrogenic enterocele and vaginal apex prolapse.

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