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Transvaginal uterosacral ligament hysteropexy: a video tutorial
Rodolfo Milani1, Matteo Frigerio1, Federico Spelzini2
1ASST Monza, Ospedale San Gerardo, Università degli Studi di Milano-Bicocca, Monza, Italy.
Transvaginal uterosacral ligaments (USLs) hysteropexy offers a mesh-free surgical option for uterine prolapse repair. This uterine-sparing procedure effectively corrects pelvic organ prolapse while preserving fertility.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Urogynecology
Background:
- Uterine-sparing procedures are sought by patients desiring fertility preservation and avoiding body image alterations.
- Transvaginal uterosacral ligaments (USLs) hysteropexy presents a mesh-free method for uterine suspension.
Observation:
- A case of a 38-year-old woman with symptomatic stage III pelvic organ prolapse (POP) undergoing vaginal hysteropexy via bilateral high USL suspension.
- The procedure was successfully performed, demonstrating feasibility for uterine preservation in POP repair.
Findings:
- Transvaginal USLs hysteropexy is a promising technique for correcting genital prolapse with uterus preservation.
- A previous series of 20 cases confirmed the efficacy and safety of this approach.
Implications:
- This technique provides a feasible option for apical support in pelvic organ prolapse without prosthetic materials.
- It is an attractive surgical choice for women seeking uterine preservation and fertility maintenance.
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