ABDOMINAL SACRAL UTEROPEXY – AN ALTERNATIVE APPROACH TO UTERINE PROLAPSE
Drs. Stephanie Cogan, Matthew Barber

The traditional surgical treatment for symptomatic uterovaginal prolapse involves hysterectomy. The abdominal sacral uteropexy serves as an alternative approach for uterine prolapse in those who desire preservation of their reproductive organs. We demonstrate an approach that is a modification of the traditional abdominal sacral colpopexy with preservation of the uterus. This is performed with utilization of the uterosacral ligaments of the prolasping uterus as well as the posterior cervix for placement of the mesh. As with the abdominal sacral colpopexy, the mesh is anchored to the anterior longitudinal ligament of the sacral promontory in a tension-free fashion. Other areas of pelvic organ prolapse are addressed as well in order to achieve a satisfactory end result.