ABSTRACT
Conservative management of POP using vaginal pessaries is a known and effective method in treating this problem; however, many patients are more inclined towards more permanent solutions to correct their symptoms, while maintaining body image and coital function. Numerous surgical operations have been described for the support of the vaginal apex at the time of hysterectomy or for the post hysterectomy vault prolapse, and are performed either abdominally or vaginally. In this chapter we will describe the different vaginal approaches for resupporting the vaginal apex.
