We thank Dr Tsin for his letter to the editor outlining the surgical technique of the minilaparotomy approach to sacral cervicopexy for uterine procidentia. Clearly, uterine procidentia is an important and fertile area of research; however, our trial evaluated only those with posthysterectomy vaginal vault prolapse.

We look forward to reviewing Dr Tsin’s future contributions on the efficacy and cost evaluation of minilaparotomy at sacral cervicopexy.