Uterosacral Ligament Suspension / Sacrospinous Fixation
Surgical procedures to suspend the vaginal vault to strong pelvic ligaments — restoring apical vaginal support and correcting vault prolapse following hysterectomy or in women with significant apical descent.
What is Uterosacral Ligament Suspension / Sacrospinous Fixation?
Uterosacral ligament suspension (USLS) and sacrospinous fixation (SSF) are pelvic floor procedures that restore apical vaginal support by fixing the vaginal vault to strong native ligaments. USLS attaches the vault to the uterosacral ligaments via an abdominal or vaginal approach, while SSF fixes the vault to the sacrospinous ligament through the vagina. Both procedures prevent vault prolapse after hysterectomy or correct existing vault descent. Dr. Ashwani Narla selects the most appropriate technique for each patient at Lux Hospitals, Hyderabad.
Suitable for women with post-hysterectomy vaginal vault prolapse or significant apical descent requiring surgical correction — either as a standalone procedure or combined with anterior and posterior colporrhaphy.
How the Procedure Works
Anaesthesia & Positioning
General or spinal anaesthesia is administered. The approach — vaginal, laparoscopic, or combined — is selected based on anatomy and concurrent repairs needed.
Vault Mobilisation
The vaginal vault is opened or dissected free from surrounding tissue. The target ligament — uterosacral or sacrospinous — is identified carefully.
Suture Placement
Permanent or delayed-absorbable sutures are placed into the target ligament under direct vision, with careful attention to adjacent ureter or pudendal nerve.
Vault Fixation
Sutures are passed through the vaginal vault and tied to elevate and fix the apex securely, restoring normal anatomical position.
Closure & Recovery
Concurrent anterior and posterior repairs are completed if required. The vaginal wall is closed and the patient recovers for two to three days in hospital.
Outcomes
Who Needs This Treatment?
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Restores apical vaginal support — the cornerstone of comprehensive pelvic floor repair
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Uses native ligament tissue — no synthetic mesh required in most cases
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Can be performed vaginally, laparoscopically, or as a combined approach
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Concurrent anterior and posterior repairs can be completed in the same operation
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Strong evidence base with durable long-term outcomes
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Significantly improves quality of life and pelvic floor symptoms
Apical support is the keystone of the pelvic floor. Getting the vault fixed securely — whether by uterosacral or sacrospinous fixation — determines how durable the whole repair will be.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Uterosacral Ligament Suspension / Sacrospinous Fixation Cost in Hyderabad
The cost of uterosacral ligament suspension or sacrospinous fixation in Hyderabad can vary depending on the type and severity of pelvic organ prolapse, the extent of pelvic floor weakness, surgical complexity, diagnostic evaluation, and post-operative care. These vaginal suspension procedures are used to support the uterus or vaginal vault and restore pelvic support. The estimated cost generally ranges from ₹1,00,000 to ₹2,20,000, with an approximate average cost of ₹1,60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Uterosacral Ligament Suspension / Sacrospinous Fixation – Vaginal Vault or Uterine Suspension | ₹1,00,000 – ₹2,20,000 |
The actual treatment cost may vary depending on the severity and type of prolapse, pre-operative investigations, surgical technique, anesthesia charges, hospital stay, medications, follow-up care, and any additional pelvic floor procedures that may be required.
Factors That Influence Uterosacral Suspension / Sacrospinous Fixation Cost
Several factors can affect the overall cost of vaginal prolapse suspension surgery:
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Severity of prolapse: The degree of uterine or vaginal vault prolapse and the extent of pelvic support weakness may influence surgical complexity.
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Pre-operative evaluation: Pelvic examination, imaging, blood tests, and other assessments may be required before surgery.
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Surgical technique: The specific suspension technique selected and complexity of the repair can influence the overall treatment expenses.
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Anesthesia and hospital care: Anesthesia, hospital admission, medications, monitoring, and post-operative care may contribute to the final cost.
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Additional prolapse repairs: If anterior or posterior vaginal wall repair or other pelvic floor procedures are required during the same surgery, the overall cost may increase.
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Follow-up care: Post-operative consultations, medications, and recovery monitoring may contribute to the total treatment expenses.
Is Uterosacral Suspension or Sacrospinous Fixation Covered by Insurance?
Uterosacral ligament suspension or sacrospinous fixation may be covered by health insurance when medically necessary for the treatment of pelvic organ or vaginal vault prolapse. Coverage depends on the patient's policy terms, inclusions, exclusions, and pre-authorization requirements. The hospital's insurance support team can assist with the required documentation and guide patients through the cashless or reimbursement process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla is a Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad. She provides evaluation and treatment for various gynecological conditions, including pelvic floor disorders and uterine prolapse. During the consultation, Dr. Ashwani Narla will review the patient's symptoms, medical history, pelvic examination findings, and diagnostic reports. She will assess the type and severity of prolapse and determine whether uterosacral ligament suspension or sacrospinous fixation may be appropriate. She will also discuss suitable treatment approaches, expected recovery, and the estimated treatment cost based on the patient's individual condition.
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Frequently Asked Questions
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