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Sacral Colpopexy. 1  Sacral colpopexy is a surgical procedure designed for correction of prolapse of the vagina. It is an ideal procedure for those women who are sexually active but who have total prolapse of the vaginal canal. 2  The strap material used in the sacral colpopexy varies.
(a) Axial CT scan of the sacrum shows slight expansion of the sacral canal and foramina (curved arrows) by a soft-tissue mass. There is subtle extension of the lesion into the posterior paraspinal musculature (straight arrow).n the sacrum, with respect to the sclerotic phase, cortical thickening most noticeably affects the sacral foramina and the sacral side of the sacroiliac joints (Fig 25). The cortical thickening results in osseous expansion of the sacrum with encroachment on the sacral canal and foramina.