Efficacy Study of Vaginal Mesh for Prolapse

Inclusion Criteria: * Woman \> 21 yrs * Stage II-IV vaginal prolapse * Desires vaginal reconstructive surgery * Able to complete study questionnaires and assessments * Uterus \< 12 weeks size * Available for 12 months follow-up Exclusion Criteria: * Medical contraindications, e.g. current urinary tract, vaginal or pelvic infection, history of pelvic irradiation, history of lower urinary tract malignancy, chronic steroid use or a compromised immune system. * Current intermittent catheterization. * Pregnancy or desire for future fertility. * Presence of an adnexal mass. * Shortened vagina or other known Mullerian anomaly (e.g. uterine didelphys). * Other laparoscopic or abdominal/pelvic surgery in the past 3 months. * Known neurologic or medical condition affecting bladder function, e.g. Multiple Sclerosis, spinal cord injury. * Need for concomitant surgery requiring an abdominal incision. * \< 12 months post-partum. * Non-english speaking