Abstract
Objective: Approximately 70,000 hysterectomies performed annually in the United States are due to POP, making it the third most common indication for benign hysterectomy. Uterine-sparing techniques such as colpocleisis or hysteropexy are alternative surgical techniques for the treatment of uterine prolapse. The traditional surgical technique for POP has been a hysterectomy with concomitant vaginal vault suspension. Multiple studies have shown comparable success for apical compartment support with sacrospinous hysteropexy as compared to total vaginal hysterectomy with uterosacral ligament suspension. We performed a unilateral sacrospinous hysteropexy with the plan for postoperative follow-up at two and six weeks. The purpose of this video is to demonstrate the sacrospinous hysteropexy surgical technique in the setting of stage IV pelvic organ prolapse (POP) to serve as an educational tool for pelvic reconstructive surgeons of all levels.
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