Methods of vaginal cuff closure and preservation of vaginal depth during transvaginal hysterectomy

One hundred and twelve vaginal hysterectomies were performed over a 2.8-year period. Five different techniques of cuff closure were performed, and evaluated for their preservation of vaginal depth. We have concluded that all five methods are acceptable ways to close the vaginal cuff at the time of transvaginal hysterectomy as long as there is proper vault support. Each surgical closure is pictorially illustrated. Morbidity was minimal, and vaginal depth was retained.