Abstract
Video Objective This video shows the steps of laparoscopic round ligament suspension used to neutralize the position of a retroverted uterus in order to relieve deep dyspareunia. Setting A 35 year-old nulliparous patient presented for gynecologic care due to dysmenorrhea and dyspareunia refractory to medical treatment. She was found to have a retroverted uterus and pain was reproduced with palpation of the fundus with an otherwise normal exam. After discussion of options for management she desired diagnostic laparoscopy with possible round ligament suspension to address her retroverted uterus. Interventions During laparoscopic survey significant retroversion of the uterus was confirmed with no other etiology for her pain identified. Laparoscopic round ligament suspension was completely in order to neutralize the angle of her uterus. There were no complications, the uterus was noted to remain axial at time of post-operative exam, and her dyspareunia was significantly improved. Conclusion Laparoscopic suspension of the round ligament is a simple, straightforward procedure that should be considered for patients with dyspareunia due to a retroverted uterus.
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