INTRODUCTION AND HYPOTHESIS: Posthysterectomy @entity3577 repair represents a challenge for urogynecologists. Surgical management can be successfully achieved with native tissue using a vaginal approach with uterosacral ligament (USL) suspension. However, severe complications have been described, mainly related to @entity1901 . METHODS: A 57-year-old @entity1 with symptomatic stage 2 @entity3577 underwent transvaginal USL suspension according to the described technique. RESULTS: Surgical procedure was successfully achieved without complications. Final examination revealed excellent apical support and preservation of vaginal length. However, @entity16 represents the major pitfall of USL suspension. This step-by-step video tutorial may represent an important tool to improve surgical know how and minimize the risk of @entity1901 . CONCLUSION: Transvaginal USL suspension provides an effective technique for apical support without the use of prosthetic materials. Intimate understanding of pelvic anatomy, direct visualization of ureter, and proper suture positioning are the key points to minimize the risk of complications.

Transvaginal uterosacral ligament suspension for posthysterectomy XXXX repair.

@entity1 :: ('9606', 'Species') :: ['woman'] @entity16 :: ('MESH:D009422', 'Disease') :: ['ureteral damage'] @entity3577 :: ('MESH:D056887', 'Disease') :: ['vaginal vault prolapse'] @entity1901 :: ('MESH:D014515', 'Disease') :: ['ureteral injury']
@entity3577 :: (MESH:D056887,Disease) :: ['vaginal vault prolapse']
