Background:Pelvic organ prolapse is a prevalent condition among women who have given birth, significantly impacting their quality of life. These patients require a reliable and effective surgical procedure that achieves both anatomical restoration and improvement in overall well-being. Abdominal sacrocolpopexy and sacrohysteropexy are emerging as promising options for repairing apical prolapse. The purpose of this study was to evaluate the clinical outcomes of abdominal sacrocolpopexy using synthetic mesh. Materials and Methods: This prospective observational study was conducted in a total of 33 women, who underwent abdominal sacrocolpopexy. All patients were followed for 12 months postoperatively. Results:Among the participants, 60% presented with stage 3 apical prolapse preoperatively. The mean age of patients undergoing sacrocolpopexy was 54.7 years.Perioperative complications included bladder injury, paralytic ileus, wound dehiscence, and urinary tract infection. Postoperatively, all patients achieved complete anatomical support of the vault and reported total symptomatic relief. During follow-up, dyspareunia and lower back pain were reported in two patients each, while no cases of mesh erosion or recurrence of prolapse were observed. Conclusion:Abdominal sacrocolpopexy utilizing synthetic mesh is an effective and reliable surgical approache for the repair of vault prolapse, with favorable safety profiles and durability.