Uterosacral and sacrospinous ligament suspension for restoration of apical vaginal support

Clin Obstet Gynecol. 2010 Mar;53(1):72-85. doi: 10.1097/GRF.0b013e3181cf2d51.


Correction of apical vaginal prolapse has been described via abdominal, laparoscopic, and transvaginal approaches. The uterosacral and sacrospinous ligament suspension procedures are common transvaginal native tissue repairs to restore apical vaginal support. Preoperative evaluation, operative decision making, surgical techniques, and objective and subjective outcomes of each technique are reviewed.

Publication types

  • Review

MeSH terms

  • Female
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Ligaments / surgery*
  • Perioperative Care
  • Postoperative Complications / prevention & control
  • Treatment Outcome
  • Uterine Prolapse / diagnosis
  • Uterine Prolapse / surgery*