Marschke J, et al. - Researchers reported functional and anatomical results and patient-reported outcomes of vaginal hysterectomy with apical fixation and anterior vaginal wall repair for pelvic organ prolapse (POP). One hundred and nine patients with symptomatic stage 2–3 uterine prolapse combined with stage 3–4 cystocele underwent vaginal hysterectomy with anterior vaginal wall repair; the apex was formed with high closure of the peritoneum and incorporation of the uterosacral and round ligaments. This technique yielded good apical support and functional and subjective results. All cases of cystocele repair achieved anatomical improvement. Recurrent cystoceles were often asymptomatic.