Objective: To access the safety and efficacy outcomes of a new abdominal cervico – sacropexy (CESA) and vagi-no – sacropexy with CESA and VASA DynaMesh kit in treatment of pelvic organ prolapse (POP). Patients and Methods: Prospective clinical study enrolled 10 women with posthysterectomy apical prolapse in Benha University Hospital Obstetrics and Gynecology Department, 7 women with vault prolapse while the other 3 women with apical prolapse with cer-vical stump. 7 women underwent VA-SA procedure while the other 3 under-went CESA procedure. ICS POP-Q staging as well as surgery related mor-bidity were evaluated. Results: All women were followed up to 6 months postoperative. Significant postsurgical anatomical success were recorded across both POPQ anterior (point Aa, Ba) (P 0.001, P 0.0001) apical (point C, d) (P  0.0001, P  0.0001) and posterior (point Ap, Bp) (P  0.0003, P  0.0005) domains. No major complication were occurred. No mesh erosion were reported. Conclusion: Cervico – sacropexy and vagino – sacropexy with CESA, VASA DynaMesh kit seems to be safe and effective option for women with ad-vanced post hysterectomy apical pro-lapse. Abbreviat