Figure 1: Vaginal and visceral supportive structures as defi ned by DeLancey Level I support spreads vertically and posteriorly via the paracolpium suspending the uterus. Level II support supplies the mid-vagina to the arcus tendineus fascia pelvis. Level III support fuses directly into the urogenital diaphragm (adapted from DeLancey Anatomic aspects of vaginal eversion after hysterectomy[2])