uterosacral ligament suspension
Pronunciation: YOU-ter-oh-SAY-kral
Surgical technique for apical prolapse repair using native uterosacral ligaments to support the vaginal vault.
Full Definition
A reconstructive procedure for vaginal vault prolapse that uses the patient's own uterosacral ligaments to provide apical support to the vagina. The procedure involves identifying and plicating the uterosacral ligaments, then securing them to the vaginal cuff or vault to restore normal anatomical position and function. This native tissue repair can be performed vaginally or laparoscopically and may be combined with anterior or posterior vaginal wall repairs. The technique avoids the use of mesh while utilizing the body's natural supporting structures, though it may have higher recurrence rates compared to synthetic mesh procedures like sacrocolpopexy.
Usage
Usage note: Native tissue repair; distinguish from other apical support procedures and specify approach (vaginal vs. laparoscopic).
In Context
- "Vaginal uterosacral ligament suspension was performed with permanent sutures placed at the level of the ischial spines." — Operative report
- "The patient preferred uterosacral ligament suspension over mesh-based repair due to concerns about foreign body complications." — Preoperative consultation