Uterosacral Ligament Vaginal Vault Suspension

  • Amy D. DobberfuhlEmail author
  • Elise J. B. De


Uterosacral ligament vaginal vault suspension is an elegant reconstructive procedure for apical prolapse which restores the natural vaginal axis using solely native tissue supports. It is suited to women with moderate apical prolapse in which the uterosacral ligaments are likely to be preserved. It can be employed in combination with hysterectomy or in the case of moderate post-hysterectomy vault prolapse. Important points are highlighted, including avoidance of nerve and ureteric injury (see also Chapter  1). Uterosacral ligament suspension can be performed concurrent with other repairs and is one of several options for addressing apical prolapse. In the event that the uterosacral ligaments are unsatisfactory, the surgeon should be prepared to offer alternative repairs to address apical prolapse (see also Chapters  8,  10,  11 and  14).


Cystocele Hysterectomy Uterosacral ligaments Pelvic organ prolapse Rectocele Sutures Uterine prolapse Vagina 



International Federation of Gynecology and Obstetrics


Detrusor pressure


Pelvic Organ Prolapse Quantification


Maximum urinary flow rate


Sacrospinous Ligament


Uterosacral Ligament


Conflict of Interest

The authors declare that they have no conflicts of interest in relation to the content of the manuscript.

Funding Support


Supplementary material

Video 9.1

(MP4 0 kb)


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Stanford University School of Medicine, Department of UrologyStanfordUSA
  2. 2.Division of UrologyMC 208, Albany Medical CenterAlbanyUSA

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