Transvaginal sacrospinous hysteropexy

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Sacrospinous hysteropexy provides a transvaginal technique for pelvic organ prolapse (POP) repair with uterine preservation. The objective of the video is to provide an instructional guide for sacrospinous hysteropexy. The featured patient is a 73-year-old woman with anterior predominant stage 3 POP. The video outlines the steps and surgical principles necessary to achieve a successful sacrospinous hysteropexy. Sacrospinous hysteropexy provides a transvaginal approach to POP repair that minimizes operative times and reduces blood loss and risk of lower genitourinary tract injury. Sacrospinous hysteropexy is a timely technique in an era of increasing interest in uterine preservation and should be considered by surgeons well versed in transvaginal surgery.