Retroperitoneal Tunneling Versus Dissection Technique During Sacrocolpopexy

Inclusion Criteria: 1. Females at least 18 years of age at the time of consent. 2. Able to understand and read English 3. Able and willing to provide written informed consent 4. Able to comply with the follow-up study protocol, per clinician judgment 5. Symptomatic POP (bulge or pressure) evidenced with vaginal prolapse with POP-Q measurement consistent with Stage II-IV. 6. RA SCP as desired surgical approach to correct apical prolapse Exclusion Criteria: 1. Females who are pregnant, or intend to become pregnant during the study 2. Texas Department of Criminal Justice prisoners 3. A known history of sensitivity to propylene mesh 4. Prior prolapse repair surgery using mesh (abdominal, vaginal or rectal) 5. Active or chronic systemic infection including any pelvic infection, abscess 6. Has had history of primary pelvic organ cancer (uterine, ovarian, endometrial, cervical, bladder) or any cancer that is metastatic to the pelvis 7. Prior or current pelvic radiation, or chemotherapy. 8. Not a candidate for general anesthesia 9. History of systemic connective tissue or musculoskeletal disorders (scleroderma, SLE, Marfan's syndrome, Ehlers Danlos, polymyositis, Lambert Eaton syndrome etc) 10. History of neurologic condition affecting bladder function (multiple sclerosis, spinal cord injury, stroke with neurologic deficit)