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In this chapter, various principles of vaginal fixation during hysterectomy are discussed, including attaching the vagina to the pelvic supporting structures, correcting, or preventing an obvious or potential enterocele, and performing a colpopexy, both vaginal and abdominal. Stage I uterovaginal prolapse is defined as the presentation of the cervix past the mid portion of the vagina, stage II to the hymen as a result of Valsalva's maneuver. Crandall-Millar claimed her husband, Dr. Discussions of methods to help prevent posthysterectomy prolapse follow. In the end, my assistant and I had to fly from Amsterdam to LA to give us some extra time to finish the looks. Janelle loved it, so we tweaked it into something we both loved.