What does the Uterosacral ligament support?
Uterosacral Ligaments Function: Support the uterus and pelvic organs.
What is a Uterosacral ligament suspension?
A uterosacral ligament suspension is a surgical procedure to restore the support of the top of the vagina after hysterectomy. It can be performed at the same time as a hysterectomy or later on in life in women who have previously undergone a hysterectomy.
What is suspension of vaginal apex?
Suspension of the vaginal apex to the sacrospinous ligaments is one of the most commonly performed vault suspension procedures (see image below). It can be performed unilaterally or bilaterally, but bilateral fixation avoids vaginal axis deviation, giving a more physiologic correction of the vaginal vault prolapse.
What is vault prolapse?
Vaginal vault prolapse occurs when the upper portion of the vagina loses its normal shape and sags or drops down into the vaginal canal or outside of the vagina. It may occur alone or along with prolapse of the bladder (cystocele), urethra (urethrocele), rectum (rectocele), or small bowel (enterocele).
Can uterosacral ligament cause pain?
The most common involved location was uterosacral ligament (USL) (Chapron et al., 2003; Bazot et al., 2007). The involvement of USL may cause many clinical symptoms, such as chronic pelvic pain and deep dyspareunia (Hummelshoj et al., 2014).
What is posterior repair?
A posterior repair involves repairing the weakened connective tissue which lies underneath the back wall of the vagina, between the vagina and the rectum. The repair is performed through a cut in the back wall of the vagina and uses dissolvable stitches. The aim of the operation is to get rid of the prolapse bulge.
How do you close your vaginal opening?
To strengthen your vaginal muscles using a pelvic tilt exercise:
- Stand with your shoulders and butt against a wall. Keep both of your knees soft.
- Pull your bellybutton in toward your spine.
- Tighten your bellybutton for 4 seconds, then release.
- Do this 10 times, for up to 5 times a day.
What is a uterosacral ligament suspension?
A uterosacral ligament suspension is a surgical procedure to restore the support of the top of the vagina after hysterectomy. It can be performed at the same time as a hysterectomy or later on in life in women who have previously undergone a hysterectomy.
What kind of doctor performs uterosacral ligament suspension?
At Northwestern Medicine, your Urogynecologist will perform the uterosacral ligament suspension via a minimally invasive surgical (MIS) route; the most common way to perform it is through the vagina, however, it can also be done utilizing conventional laparoscopy and the robotic surgical system.
How long does it take for a uterosacral ligament suture to heal?
The ipsilateral uterosacral ligament suture was removed within 2 days of the procedure in 3 women who had immediate subjective reduction in their pain and complete resolution of pain by 6 weeks. The remaining 4 women were treated with gabapentin and narcotics.