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Uterosacral and Sacrospinous Ligament Suspension for Restoration of Apical Vaginal Support

MORGAN, DANIEL M. MD; LARSON, KINDRA MD

Clinical Obstetrics & Gynecology: March 2010 - Volume 53 - Issue 1 - pp 72-85
doi: 10.1097/GRF.0b013e3181cf2d51
Vaginal Surgery

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.

Department of Obstetrics and Gynecology, Women's Hospital, University of Michigan, Ann Arbor, Michigan

Correspondence: Daniel M. Morgan, MD, Department of Obstetrics and Gynecology, Women's Hospital L4000, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI. E-mail: morgand@umich.edu

© 2010 Lippincott Williams & Wilkins, Inc.