Dr. Thomas is Fellow, Female Pelvic Medicine and Reconstructive Surgery, Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, Cleveland, Ohio.
Dr. Siff is Assistant Professor, Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics, Gynecology and Surgery, Virginia Commonwealth University Health System, Richmond, Virginia.
Dr. Walters is Professor and Vice-Chair of Gynecology, Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic.
Dr. Walters reports that he is a consultant to Coloplast, web editor for International Academy of Pelvic Surgery (IAPS), and that he receives royalties from Elsevier and UpToDate. Drs. Thomas and Siff report no financial relationships relevant to this video.
Brought to you by the Society of Gynecologic Surgeons. In this video, the authors demonstrate their technique for performing uterosacral ligament colpopexy including visualization and isolation of the uterosacral ligaments, identification of important surrounding anatomic structures, suture placement through the uterosacral ligaments, suture anchoring to the vaginal cuff, and suspension of the apex. Also described are techniques to avoid ureteral kinking and strategies for management, and concomitant procedures for prolapse and urinary incontinence to restore normal anatomy and function.