High Uterosacral Suspension
High uterosacral suspension is a surgical technique used to correct pelvic organ prolapse, particularly when the uterus or the upper portion of the vagina loses its normal support. This procedure restores pelvic strength by using the uterosacral ligaments, which are strong natural tissues inside the pelvis. By repositioning the prolapsed organs, the surgery helps relieve discomfort, improves bladder and bowel function, and enhances overall quality of life.
What Is High Uterosacral Suspension?
In high uterosacral suspension, the surgeon secures the top of the vagina or the uterus to the uterosacral ligaments. These ligaments are located deep within the pelvis near the lower spine and provide strong, long-lasting support. By attaching the prolapsed structures to these ligaments, the organs are lifted back to their normal anatomical position.
The procedure can be performed through a vaginal, laparoscopic, or abdominal approach, depending on the patient’s condition and the surgeon’s experience.
Why Is This Procedure Performed?
Pelvic organ prolapse occurs when the muscles and connective tissues supporting the pelvic organs weaken. As a result, organs such as the uterus, bladder, or rectum may shift downward into the vaginal canal. This condition is commonly seen after childbirth, during menopause, or following previous pelvic surgeries.
High uterosacral suspension is performed to:
- Correct uterine or vaginal vault prolapse
- Restore natural pelvic support
- Reduce pelvic pressure and discomfort
- Improve bladder and bowel control
- Lower the chances of prolapse recurrence
Who Can Benefit from High Uterosacral Suspension?
This procedure may be suitable for women who:
- Have prolapse of the uterus or vaginal vault
- Feel heaviness, pressure, or a bulge in the vaginal area
- Experience urinary or bowel symptoms related to prolapse
- Want a durable repair using natural tissues
- Are medically fit to undergo surgery
Before recommending surgery, the doctor carefully evaluates symptoms, pelvic examination findings, and overall medical history.
Benefits of High Uterosacral Suspension
High uterosacral suspension offers several important advantages, such as:
- Use of the body’s own ligaments for support
- Effective correction of pelvic organ prolapse
- Improved pelvic stability and comfort
- Relief from pressure and heaviness
- Better bladder and bowel function
- Long-lasting results when performed correctly
This technique provides reliable support, especially when done by an experienced surgeon.
Preparation Before Surgery
Before the procedure, a thorough medical evaluation is conducted. This may include a pelvic examination, imaging studies, and routine blood tests. The doctor explains the surgical process, possible risks, and expected recovery in detail.
Patients may be asked to stop certain medications and follow specific instructions, such as fasting, before surgery.
How the Surgery Is Performed
High uterosacral suspension is usually performed under general or regional anesthesia. During the surgery, the uterosacral ligaments are carefully identified and stitched to the top of the vagina or the cervix to create firm support.
The procedure can be performed alone or combined with other pelvic surgeries, such as hysterectomy or repair of bladder or rectal prolapse. The surgery generally takes about one to two hours.
Recovery After High Uterosacral Suspension
Recovery is usually smooth and well tolerated. Most patients are discharged within one or two days. Mild pelvic discomfort, soreness, or temporary urinary symptoms may occur in the early recovery phase and are typically managed with medications.
Patients are advised to avoid heavy lifting, strenuous activity, and sexual intercourse for several weeks. Pelvic floor exercises may be recommended to strengthen muscles and support long-term healing.
Is High Uterosacral Suspension Safe?
When performed by a skilled gynecologist, high uterosacral suspension is a safe and effective procedure. As with any surgery, there are some risks, including bleeding, infection, or injury to nearby structures such as the ureters, but these complications are uncommon.
All potential risks and benefits are discussed before surgery so patients can make an informed decision.
Long-Term Outcomes
Most women experience significant relief from prolapse symptoms after high uterosacral suspension. Pelvic support is restored, daily activities become easier, and overall comfort improves. With proper post-operative care and regular follow-ups, the results are long-lasting.
Conclusion
High uterosacral suspension is a dependable and effective surgical option for treating pelvic organ prolapse. By using the body’s natural support tissues, this procedure restores pelvic stability, relieves symptoms, and improves quality of life. If pelvic prolapse is affecting your comfort or routine activities, consulting an experienced gynecologist can help determine whether high uterosacral suspension is the right treatment choice for you.