Inclusion Criteria:  Women over the age of 18 English or Spanish speaking Symptomatic prolapse (stage II or greater) undergoing minimally-invasive sacrocolpopexy with Restorelle ultra lightweight mesh Preoperative genital hiatus with valsalva/strain greater than or equal to 4cm  Exclusion Criteria:  Patient has had prior prolapse surgery Patient has inflammatory bowel disease (Crohn's, Ulcerative Colitis) Baseline dyspareunia (patient reports that they have pain with vaginal intercourse when asked as a yes/no) Patients with a score of 7 or greater in any one muscle on the Meister Pelvic Floor Exam Patient planning a concomitant Burch procedure Pregnant