Long-term outcomes of modified high uterosacral ligament vault suspension (HUSLS) at vaginal hysterectomy

Int Urogynecol J. 2011 May;22(5):577-84. doi: 10.1007/s00192-010-1325-8. Epub 2010 Dec 2.


Introduction and hypothesis: The aim of this study was to prospectively evaluate long-term outcomes of a modified high uterosacral ligament suspension (HUSLS) at vaginal hysterectomy for pelvic organ prolapse (POP).

Methods: POP was assessed 5 years postoperatively in 42 women who underwent vaginal hysterectomy and HUSLS for POP. Bladder, bowel, sexual function and quality of life (QoL) were evaluated.

Results: Preoperatively, 27/42 women had at least BW grade 2 uterine prolapse. At a mean follow-up period of 59.4 months (range: 40-79 months), two women had undergone surgical intervention for vault prolapse, 33 had no vault prolapse and six grade 1 vault prolapse. One woman declined vaginal examination. Twenty women were sexually active and 18 completed the PISQ-31. The mean total score for all domains was 91/125. On QoL assessments high scores were noted in all domains.

Conclusions: Modified HUSLS at vaginal hysterectomy is associated with satisfactory long-term objective and subjective outcomes, sexual function and quality of life scores.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Humans
  • Hysterectomy, Vaginal / methods*
  • Ligaments / surgery*
  • Middle Aged
  • Patient Satisfaction*
  • Pelvic Organ Prolapse / surgery*
  • Prospective Studies
  • Quality of Life*
  • Retrospective Studies
  • Sexual Behavior
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome