Cuff Suspension

When the prolapse of the apex or top of the vagina is noted on your pelvic examination, it is necessary to have that area supported and fixed before the repairs are done for the bladder (cystocele) or the area near the rectum (rectocele). If not supported, the prolapse repairs may not last as long as expected and the bulge in the vagina may come back very soon.

Two techniques that have been proven effective with results lasting 60-85% over five years are the uterosacral ligament fixation as well as sacrospinous fixation. These two techniques involve putting stitches that are usually dissolvable to the support system (called ligaments) that existed before having vaginal deliveries. Your doctor will attach stitches to the strong part of the ligaments. With time, the stitches dissolve and usually strong tissue develops simulating the older strong ligaments. Like with most prolapse repair surgeries and to help preserve the results long-term, your physician will suggest weight, activity/lifestyle, and lifting alterations after having this procedure done.

Advantages of these techniques include:
  • Does not involve the use of mesh
  • Cosmetic (no scars visualized)
  • Overnight procedure
Our fellowship-trained surgeons are highly experienced and trained so as to help you manage your prolapse and develop a care plan just for you.