High midline levator myorrhaphy for vault prolapse repair

Yuefeng Rose Wu, Philippe E. Zimmern

Research output: Chapter in Book/Report/Conference proceedingChapter


High midline levator myorrhaphy (HMLM), first described in 1988, is a vaginal surgery for vault prolapse (VP) that does not rely on mesh interposition, avoids the inherent difficulties associated with sacrospinous ligament fixation (SSLF) involving nearby vascular and neural structures, and is well-suited for middle-aged to older women [1]. Unlike the SSLF [2, 3], HMLM keeps the vagina midline, and unlike the uterosacral ligament (USL) fixation [4], HMLM can be done many years after hysterectomy when the uterosacral ligaments are no longer readily identifiable. Since its original report, there have been few published series on surgical outcomes [1, 5], none of which included long-term data. We review the technique of this procedure in detail and provide an update on our long-term experience with this technique.

Original languageEnglish (US)
Title of host publicationNative Tissue Repair for Incontinence and Prolapse
PublisherSpringer International Publishing
Number of pages7
ISBN (Electronic)9783319452685
ISBN (Print)9783319452661
StatePublished - Jan 1 2017


  • Long term follow-up
  • Recurrence
  • Surgical repair
  • Vault prolapse

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'High midline levator myorrhaphy for vault prolapse repair'. Together they form a unique fingerprint.

Cite this