Abstract: The present invention includes a biological vaginal graft with a central body and a plurality of extension members. The central body has a tapered dimension from a bottom portion to a bottom portion. The extension members extend outward from the central body, disposed on opposing sides of the bottom portion. The central body and the extension members are composed of tissue graft material. The extension members, as being composed of the tissue graft material, as affixable via a grafting medical procedure to a vaginal canal of a patient.

Abstract: The present invention provides for an apparatus and system for knotless abdominal sacral colpopexy. The apparatus and system includes a vaginal manipulator comprising: a central body connected to a tapered handle with a central bore hole configured throughout at least the central body and/or the tapered handle suitable to receive a uterine stabilizer. The apparatus and system further includes a screw lock in the central body, a uterine stabilizer configured to fit within the central bore hole and a vaginal cuff adapter.