Related Experiment Video
Updated: May 31, 2026
Development of a Uterosacral Ligament Suspension Rat Model
Published on: August 17, 2022
Uterosacral ligament vaginal vault suspension using delayed absorbable monofilament suture
Micheline J Wong1, Azadeh Rezvan, Narender N Bhatia
1Division of Female Pelvic Medicine and Reconstructive Surgery, Harbor-UCLA Medical Center, 1000 W. Carson St., Bldg D3, Box 489, Torrance, CA 90509, USA. micheline.wong@gmail.com
Introduction And Hypothesis:
We investigated the incidence of suture complications and recurrent prolapse following uterosacral ligament suspension (USLS) using delayed absorbable polyglyconate monofilament suture (Maxon).
Methods:
We reviewed the medical records of subjects who underwent vaginal USLS using polyglyconate suture. Primary outcomes were suture complications and anatomic failures defined as recurrent apical prolapse stage 1 or greater. Secondary outcomes were subjective failures and reoperation rate for apical prolapse.
Results:
Fifty-seven out of 68 subjects who underwent USLS with polyglyconate suture over the study period were included in analysis. At median follow-up of 12 months, 3.5% had suture complications. The anatomic and symptomatic failure rate was 7%. One subject underwent repeat surgery for prolapse.
Conclusions:
Suture complications are uncommon using polyglyconate suture for USLS, and failure rates are low. This is in comparison to a 44.6% suture erosion rate with permanent suture reported by our institution using the same surgical technique.
