PMC7403897_01
(a) Intraoperative image detailing posterior vaginal wall prolapse after dissection and retraction of the anterior vaginal wall. The retractor is pictured anteriorly. (b) Insertion of bovine biologic graft with iliococcygeal suspension sutures for repair of posterior and apical vaginal wall prolapse. (c) Postoperative anatomic resolution of posterior and apical vaginal wall defects with concomitant perineoplasty.
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POP-Q evaluation indicated the International Continence Society (ICS) stage III Bp prolapse with the involvement of apical prolapse (Point C at 0) (Figure 2(a)). A segment of tailored biologic bovine graft was used with appropriate tension on the suspension sutures to reduce the posterior bulge (Figures 2(b) and 2(c)).