The present invention provides for an apparatus and system for knotless abdominal sacral colpopexy. The apparatus and system includes a vaginal manipulator comprising: a central body connected to a tapered handle with a central bore hole configured throughout at least the central body and/or the tapered handle suitable to receive a uterine stabilizer. The apparatus and system further includes a screw lock in the central body, a uterine stabilizer configured to fit within the central bore hole and a vaginal cuff adapter.
