Treatment Overview
Transvaginal Vault Suspension Surgery is a specialized reconstructive gynecologic procedure designed to correct vaginal vault prolapse, a condition where the upper portion of the vagina descends following hysterectomy or due to weakened pelvic floor ligaments. The procedure involves restoring the vaginal apex to its natural position through a transvaginal approach (via the vaginal canal), ensuring optimal pelvic support, comfort, and function.
In Korea, this surgery is a cornerstone treatment within Women’s Health / OBGYN – Surgical Gynecology, performed by highly skilled pelvic reconstructive surgeons. Korean hospitals are internationally acclaimed for using advanced mesh-free, laparoscopic-assisted, and minimally invasive transvaginal suspension techniques that combine precision, safety, and aesthetic results. The emphasis on natural anatomical restoration and quick recovery makes Korea a top destination for this procedure.
Purpose & Benefits
- Corrects vaginal vault prolapse following hysterectomy or pelvic floor weakness.
- Restores pelvic support, vaginal alignment, and natural anatomy.
- Relieves symptoms such as vaginal bulging, pelvic pressure, urinary leakage, or bowel difficulties.
- Preserves sexual function and comfort by maintaining vaginal length and elasticity.
- Can be performed mesh-free using the patient’s native tissue.
- Minimally invasive — smaller incisions, minimal bleeding, and fast recovery.
- Long-term effectiveness with low recurrence rates when performed by skilled Korean surgeons.
Ideal Candidates
- Women with vaginal vault prolapse post-hysterectomy or uterine descent.
- Patients with symptoms such as vaginal bulging, pelvic pressure, or urinary dysfunction.
- Women seeking a mesh-free or minimally invasive surgical solution.
- Patients desiring restoration of vaginal support with preserved function and aesthetics.
- Women looking for quick recovery and minimal postoperative discomfort.
Possible Risks & Complications
Transvaginal Vault Suspension is a safe, well-established procedure in Korea. However, minor and temporary side effects may occur, such as:
- Mild vaginal soreness or spotting for a few days.
- Temporary pelvic discomfort or swelling.
- Urinary retention (usually short-term).
- Infection (rare and preventable with antibiotics).
- Slight tightness or scar tissue formation (manageable with physiotherapy).
- Minimal recurrence risk when proper postoperative care is followed.
With Korea’s advanced surgical technology and precise microsuturing techniques, these risks are minimized.
Surgical Techniques Used
Korean gynecologic surgeons use the most refined and globally recognized transvaginal suspension methods to ensure long-term anatomical stability, functional restoration, and aesthetic appeal:
- Sacrospinous Ligament Fixation (SSLF): The vaginal apex is attached to the sacrospinous ligament for durable pelvic support.
- Uterosacral Ligament Suspension (HUSLS): Repositions the vaginal vault or uterus to its natural position using native ligaments.
- McCall Culdoplasty: Prevents post-hysterectomy vault prolapse by reinforcing the vaginal cuff during closure.
- High Uterosacral Fixation: Used for advanced prolapse cases for superior vaginal elevation and axis restoration.
- Bilateral Suspension (Dual Support): Both sides of the pelvic floor are reinforced for balanced vaginal positioning.
- Laparoscopic-Assisted Transvaginal Suspension: Combines the vaginal route with laparoscopic visualization for accuracy and reduced trauma.
Korean hospitals often integrate laser-assisted suturing, 3D imaging, and AI-guided pelvic mapping systems to ensure safe and precise surgical execution.
Recovery & Aftercare
- Hospital stay: 1–2 days; same-day discharge available for minimally invasive cases.
- Recovery time: Return to light activity within 1–2 weeks, full recovery in 4–6 weeks.
- Mild swelling, light bleeding, or cramping may occur briefly.
- Avoid sexual intercourse, heavy lifting, and tampon use for 4–6 weeks.
- Short walks are encouraged to improve circulation and healing.
- Follow-up visits: Typically at 2 and 6 weeks post-surgery.
- Pelvic floor strengthening exercises (Kegels) recommended for maintaining results.
Results & Longevity
- Immediate improvement in vaginal support and relief from prolapse symptoms.
- Restoration of normal pelvic function, comfort, and vaginal shape.
- Enhanced sexual confidence and pelvic stability.
- Minimal scarring and a natural appearance due to transvaginal access.
- Long-term durability with success rates exceeding 90% in major Korean centers.
- Low recurrence thanks to Korea’s precise, ligament-based techniques.
Treatment Process in Korea
South Korea is a world leader in pelvic reconstructive surgery, offering the most advanced transvaginal, laparoscopic, and robotic approaches. Korean hospitals provide comprehensive diagnostic imaging, personalized treatment planning, and rapid-recovery programs to ensure safe and effective outcomes.
Most advanced and popular surgical techniques performed in Korea:
- Mesh-free native tissue vaginal suspension.
- Hybrid laparoscopic-transvaginal vault suspension for complex cases.
- Sacrospinous and uterosacral ligament fixation with high precision.
- Laser and energy-assisted tissue reinforcement for improved healing.
- 3D pelvic imaging and robotic-assisted systems for accuracy and control.
Unique Korean methods or technology:
- Pain-free anesthesia and fast-recovery protocols.
- AI-guided pelvic mapping for customized surgical planning.
- Aesthetic-functional reconstruction preserving vaginal appearance and comfort.
- One-day surgical care systems for domestic and international patients.
- Comprehensive postoperative physiotherapy and digital follow-up programs.
Why Korea is considered a top destination for this surgery:
- Globally certified and fellowship-trained pelvic reconstructive surgeons.
- Hospitals equipped with 4K/3D laparoscopic and robotic systems.
- Focus on mesh-free, safe, and functional outcomes.
- Short hospital stays and rapid recovery times.
- Affordable yet world-class healthcare services with international patient support.
Cost Range
The cost of Transvaginal Vault Suspension Surgery in Korea depends on the hospital, technology, and complexity of the case:
- Typical Range: USD 3,500 – 7,000
- Mesh-Free Native Tissue Suspension: USD 3,500 – 5,500
- Laparoscopic-Assisted or Bilateral Fixation: USD 5,000 – 8,000
- Comprehensive Surgical Package (Anesthesia, Hospital Stay, Follow-Up): USD 4,000 – 7,500
Korean hospitals offer clear, all-inclusive pricing packages, covering preoperative consultation, imaging, surgery, anesthesia, and follow-up. Medical tourism programs for international patients include translation, transport, and recovery coordination.
Popular Clinics with Advanced Transvaginal Vault Suspension Surgery in Korea
- Seoul Miz Hospital – Specialized in mesh-free and aesthetic transvaginal pelvic reconstruction.
- MizMedi Hospital (Seoul) – Offers laparoscopic-assisted transvaginal suspension with quick recovery programs.
- Yoonho OB/GYN Hospital (Gangnam) – Expert in vaginal suspension and hybrid pelvic floor reconstruction.
- Gangnam Women’s Hospital – Focuses on functional and cosmetic vaginal surgery with advanced systems.
- Asan Medical Center (Seoul) – Korea’s leading tertiary hospital for robotic and complex vaginal vault repairs.
- Samsung Medical Center (Seoul) – Global innovator in minimally invasive pelvic reconstructive procedures.
- Kyung Hee University Hospital at Gangdong – University medical center offering advanced transvaginal and laparoscopic repairs.
