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International Urogynecology Journal

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01-05-2017 | IUJ Video

Transvaginal uterosacral ligament hysteropexy: a video tutorial

Authors: Rodolfo Milani, Matteo Frigerio, Federico Spelzini, Stefano Manodoro

Published in: International Urogynecology Journal | Issue 5/2017

Abstract

Introduction and hypothesis

Uterine-sparing procedures could be attractive in patients concerned about fertility preservation and corporeal image changes. Transvaginal uterosacral ligaments (USLs) hysteropexy can provide a mesh-free technique for uterine suspension. This video is intended to serve as a tutorial for surgical steps.

Methods

A 38-year-old woman with symptomatic stage III POP desired preserving fertility. After proper counseling, the patient was admitted for vaginal hysteropexy through bilateral high USL suspension according to the featured technique.

Results

Prolapse repair was successfully achieved without complications. We had already published a series of 20 cases that confirmed that transvaginal USLs hysteropexy is a promising technique for correcting genital prolapse with uterus preservation.

Conclusion

Transvaginal USLs hysteropexy provides a feasible technique for apical support without the use of prosthetic material. This procedure could be attractive to women who desire a uterine-sparing surgical option.

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Title: Transvaginal uterosacral ligament hysteropexy: a video tutorial
Authors: Rodolfo Milani
Matteo Frigerio
Federico Spelzini
Stefano Manodoro
Publication date: 01-05-2017
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 5/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-016-3222-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transvaginal uterosacral ligament hysteropexy: a video tutorial

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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