BACKGROUND: Anterior colporrhaphy is associated with a reduction in vaginal length after repair. These 2 case reports describe a potential solution for cervical elongation and prolapse in the setting of shortened vaginal length after anterior colporrhaphy.

CASES: Two sexually active women underwent anterior colporrhaphies by outside providers. They quickly re-presented with cervical prolapse and compromised anterior vaginal lengths. In each case, sacrocolpopexy with supracervical hysterectomy was performed, establishing a new vaginal apex. When cervical elongation subsequently occurred, trachelectomy was performed using part of the cervix as a cervical flap to maintain vaginal length.

CONCLUSIONS: These 2 case reports illustrate the use of a cervical flap after trachelectomy to preserve vaginal length. We were unable to find reports in the literature describing a similar technique.