International Urogynecology Journal

, Volume 28, Issue 5, pp 789–791 | Cite as

Transvaginal uterosacral ligament hysteropexy: a video tutorial

  • Rodolfo Milani
  • Matteo Frigerio
  • Federico Spelzini
  • Stefano ManodoroEmail author
IUJ Video


Introduction and hypothesis

Uterine-sparing procedures could be attractive in patients concerned about fertility preservation and corporeal image changes. Transvaginal uterosacral ligaments (USLs) hysteropexy can provide a mesh-free technique for uterine suspension. This video is intended to serve as a tutorial for surgical steps.


A 38-year-old woman with symptomatic stage III POP desired preserving fertility. After proper counseling, the patient was admitted for vaginal hysteropexy through bilateral high USL suspension according to the featured technique.


Prolapse repair was successfully achieved without complications. We had already published a series of 20 cases that confirmed that transvaginal USLs hysteropexy is a promising technique for correcting genital prolapse with uterus preservation.


Transvaginal USLs hysteropexy provides a feasible technique for apical support without the use of prosthetic material. This procedure could be attractive to women who desire a uterine-sparing surgical option.


Uterine-sparing surgery Transvaginal route Hysteropexy Uterosacral ligaments suspension Video tutorial 


Compliance with ethical standards

Conflicts of interest



Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material


(MP4 86897 kb)


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Copyright information

© The International Urogynecological Association 2016

Authors and Affiliations

  1. 1.ASST Monza, Ospedale San GerardoUniversità degli Studi di Milano-BicoccaMonzaItaly
  2. 2.ASST Valtellina e Alto LarioUniversità degli Studi di Milano-BicoccaSondrioItaly
  3. 3.ASST Monza, Ospedale San GerardoU.O. GinecologiaMonzaItaly

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