ABSTRACT
Uterosacral ligament suspension is an effective minimally invasive surgical option for repair of DeLancey Level 1 support defects of the posthysterectomized cervix or vaginal vault as well as for the in situ uterus. The uterosacral ligament complex can be utilized in the treatment of both existing defects as well as for prophylaxis of iatrogenic defects created during hysterectomy. The goal of a uterosacral ligament suspension is to reattach the natural ligamentous avulsions in order to pulley the uterus or vaginal vault back up to its original level at the ischial spine. The uterosacral ligament also allows for the most anatomic repair when compared to other vault suspension methods, such as sacrospinous ligament fixation or iliococcygeal fixation, in that the uterosacral ligament will restore the vagina to its original axis of orientation for sexual function.
