The novel technique of post-hysterectomy vaginal vault prolapse repair: Apical sling and "neocervix" formation.

Objective: We primarily aimed to evaluate the effectiveness of the novel technique: bilateral sacrospinous fixation by monofilament polypropylene apical sling combined with "neocervix" formation in surgical treatment of post - hysterectomy vaginal vault prolapse. The secondary objective was to estimate the impact of the surgery on voiding function and quality of life.

Study Design: This prospective study involved 61 women suffering from post-hysterectomy prolapse.

The hybrid technique of pelvic organ prolapse treatment: apical sling and subfascial colporrhaphy.

Introduction And Hypothesis: The majority of patients with cystocele undergoing reconstructive surgery have combined defects of pubocervical fascia and uterosacral/cardinal ligament complex. In this regard, the simultaneous correction of both defects is rational. Furthermore, decreasing the use of synthetic materials in pelvic floor surgery is an important goal.