Uterosacral Ligament Fixation

Uterosacral Ligament Fixation

Uterosacral Ligament suspension is a surgical treatment used to restore support to the uterus (womb) or to the vaginal vault (the top of the vagina if a woman has had a hysterectomy).  The strong, supportive ligaments that attach the cervix to the sacrum (neck of the womb to the bottom of the spine) are called the uterosacral ligaments. If these ligaments become weak and stretch, it can contribute to pelvic organ prolapse.

In the video below, Dr. Elizabeth Coronado performs a uterosacral ligament suspension and describes how this surgery involves stitching the uterosacral ligaments to the apex (top) of the vagina and restoring normal support to the top of the vagina. Dr. Coronado can perform this specialized procedure at the same time as a hysterectomy to avoid future prolapse, or it can be combined with other pelvic floor reconstruction techniques for prolapse or incontinence.