Uterine preservation surgery options

Uterosacral ligament uterine suspension

This is a mesh free surgery to re-suspend the uterus using a patient’s own tissue to reinforce the existing ligament that has been damaged or weakened as a result of childbirth. This surgery is usually performed laparoscopically or via a robotic approach. Figure (a) illustrates pelvic side view and inlet view where sutures are passed through the uterosacral ligaments. The uterus is elevated after tightening the sutures on the ligament  (Figure b)

Sacrohysteropexy

Uterine conservation prolapse surgery to suspend the uterus using either synthetic mesh or patient’s own graft (autologous fascia lata) from the front of sacrum. This surgery is usually performed laparoscopically or via a robotic approach and reserved for women with advanced pelvic organ prolapse or failed previous prolapse surgery. The illustration demonstrates uterine suspension technique with the use of Surgical Pelvic Organ Prolapse (SPOP) device for approximately 4 weeks.