Techniques may include one or a combination of the following: Hysterectomy Surgical repair of the pelvic support structures (colporrhaphy) Suspension of the top of the vagina (suturing of the upper vagina to a stable structure nearby) Colpocleisis (closure of the vagina after removal of the uterus or with the uterus in place [Le Fort procedure]) Procedures are done using a transvaginal or abdominal route.