The lifetime risk for prolapse surgery is nearly 20%, and worldwide vaginal hysterectomy is the most commonly performed surgical procedure for uterine prolapse. Uterine-sparing procedures are attractive options in women without contraindications for these surgeries. The majority of these procedures involve mesh-based approaches; however, patients and surgeons are increasingly worried about the use of meshes. For a meshless urogynecological perspective, we aim to introduce a novel surgical technique in which the critical organ cervix, serving as a roof in terms of pelvic-support, is isolated, after which the prolapse of the remaining uterus is removed, and all pelvic compartments are revised.
