Surgery may include one (or a combination) of the following procedures Anterior or posterior colporrhaphy (vaginal repair) Vaginal apex suspension or repair Colpocleisis (closure of the vagina after removal of the uterus or with the uterus in place [Le Fort procedure]) Perineorrhaphy (surgical shortening and tightening of the perineum) is traditionally done but does not help resolve pelvic organ prolapse.