Lauterbach R, Gruenwald I, Matanes E, et al. - Using vaginal tactile imaging (VTI), researchers evaluated the changes in vaginal elasticity, mobility and strength, before and after hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES) and high utero-sacral ligament suspension (USLS); and examined correlations with sexual function. They here determined how these procedures affect vaginal elasticity and sexual function. Participants were a total of 23 women, mean age 56.5 years, with stage 3-4 pelvic organ prolapse (POP). Per findings, hysterectomy and POP repair performed by vNOTES results in improvement in vaginal elasticity, mobility and Female Sexual Function Index scores.