I am looking for a bi partisan view of the best surgical treatment for a Grade 3 rectocele. + vaginal atrophy.but no evidence of other prolapse. CST nil. PID not noted or expected. Experiencing symptoms of coccyx pain, prolapse discomfort, dyspareunia, some incomplete feeling when defecating or extended length of time to do so. I have researched use of mesh by colorectal surgery and perineal surgery by Uro/gyn s. I would prefer abdominal laparoscopic treatment as it has better outcomes. However I m not sure. the longevity of surgisis mesh is in question but synthetic has corrosive and infection complications. Perineal surgery can cause more dyspareunia, more painful and longer recovery time. I am 63 and otherwise quite well.