Int Urogynecol J (2011) 22:889–891 Conclusion In conclusion, this report is on a vaginal surgical technique with use of mesh material in two women with bladder exstrophy and uterine prolapse. The modified Prolift™ procedure is a minimally invasive technique with low risk of morbidity, which preserves fertility. The vaginal approach in these women with a history of multiple abdominal operations may be safer and therefore preferable. The functional and anatomical results were acceptable, but longer-term results are required to evaluate this technique. Conflicts of interest M. W. and M. V. received an educational grant and are occasionally involved in educational activities for Gynecare Benelux. This study, however, was entirely instigated by the responsible researchers and funded by university-administered re- search funds. Gynecare was not involved in the study setup, study design, data collection, or whatsoever. Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which per- 891 mits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. References 1. Mathews RI, Gan M, Gearhart JP (2003) Urogynaecological and obstetric issues in women with the exstrophy-epispadias complex. BJU Int 91(9):845–849 2. Stein R, Fisch M, Bauer H, Friedberg V, Hohenfellner R (1995) Operative reconstruction of the external and internal genitalia in female patients with bladder exstrophy or incontinent epispadias. J Urol 154(3):1002–1007 3. Muir TW, Aspera AM, Rackley RR, Walters MD (2004) Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct 15(6):436–438 4. Boemers TM, Schimke CM, Ludwikowski B, Ardelean MA (2005) Rotundum psoas hitch: a new method for colpohysteropexy in girls with bladder exstrophy. J Pediatr Urol 1(5):337–341 5. Palma P, de Fraga R, Ramos L, Riccetto C, Miyaoka R (2009) Transcoccygeal sacropexy using a mesh repair for resolution of high grade uterine prolapse associated with bladder exstrophy. UIJ 2(3) 6. Ridgeway B, Chen CC, Paraiso MF (2008) The use of synthetic mesh in pelvic reconstructive surgery. Clin Obstet Gynecol 51 (1):136–152