Treatment Overview
High Uterosacral Ligament Suspension (HUSLS) is a refined uterus-preserving reconstructive gynecologic surgery used to correct uterine or vaginal vault prolapse — conditions in which the uterus or top of the vagina descends due to weakened pelvic floor support. This procedure involves reattaching the uterus or vaginal apex to the upper (high) portion of the uterosacral ligaments, which provides stronger, more durable support and restores the natural anatomy of the pelvis.
In Korea, HUSLS is an advanced version of the traditional uterosacral ligament suspension and is a standard in Women’s Health / OBGYN – Surgical Gynecology. Korean surgeons are recognized globally for their mastery of mesh-free, minimally invasive, and laparoscopic-assisted techniques, utilizing 4K/3D imaging, robotic precision, and AI-guided surgical mapping. This ensures highly successful, aesthetic, and long-lasting results with minimal downtime and complete preservation of the uterus.
Purpose & Benefits
- Corrects uterine prolapse or vaginal vault prolapse following hysterectomy.
- Repositions and supports the uterus or vaginal apex using native tissue (no synthetic mesh).
- Strengthens pelvic support to prevent further organ descent.
- Restores normal vaginal function, alignment, and structure.
- Relieves symptoms such as vaginal bulging, pelvic pressure, urinary leakage, or constipation.
- Minimally invasive, ensuring smaller incisions, faster healing, and less discomfort.
- Preserves uterus and fertility, maintaining hormonal and reproductive function.
- Improves sexual function, confidence, and overall pelvic health.
- Provides long-lasting results with minimal recurrence.
Ideal Candidates
- Women with uterine or vaginal vault prolapse seeking a uterus-preserving solution.
- Patients with mild to advanced uterine descent or recurrent prolapse after prior surgery.
- Post-hysterectomy patients with vault prolapse desiring durable, mesh-free support.
- Women preferring natural-tissue repair without synthetic implants.
- Patients seeking functional, aesthetic, and long-term pelvic reconstruction.
Possible Risks & Complications
High Uterosacral Ligament Suspension is a safe and widely practiced procedure in Korea. Minor temporary effects may include:
- Mild vaginal spotting or soreness.
- Temporary pelvic discomfort or bloating.
- Rare urinary retention (resolves within a few days).
- Infection or inflammation (preventable with antibiotics).
- Ureteral irritation (extremely rare due to intraoperative visualization).
- Minimal recurrence when proper pelvic rehabilitation is maintained.
Korean surgeons minimize risks through laparoscopic imaging, microsurgical suturing, and real-time ureteral monitoring during the procedure.
Surgical Techniques Used
Korean OBGYN surgeons use advanced native tissue reconstructive techniques for superior support and precision:
- Traditional Vaginal HUSLS: The vaginal apex or uterus is elevated and attached to the high uterosacral ligaments through a small vaginal incision.
- Laparoscopic-Assisted HUSLS: Combines vaginal and laparoscopic approaches for enhanced visualization and precision.
- Bilateral High Suspension: Both ligaments are used symmetrically for balanced support and stability.
- Uterus-Preserving Suspension: Restores the uterus to its natural position while maintaining fertility.
- Hybrid Vaginal-Laparoscopic Suspension: Integrates both internal and external approaches for complex prolapse correction.
- Robotic-Assisted High Uterosacral Suspension: Uses the Da Vinci robotic system for ultra-precise suture placement and tissue handling.
Korean hospitals utilize AI-guided pelvic mapping, 3D endoscopic systems, and fine absorbable sutures to ensure accurate ligament anchoring and strong, lasting outcomes.
Recovery & Aftercare
- Hospital stay: 1–2 days; outpatient surgery possible in select clinics.
- Recovery time: Light activity within 1–2 weeks, full recovery in 4–6 weeks.
- Mild pelvic pressure or light spotting may occur temporarily.
- Avoid sexual intercourse, tampon use, and heavy lifting for 4–6 weeks.
- Gentle walking and stretching encouraged for blood circulation.
- Follow-up visits: Typically at 2 and 6 weeks post-surgery.
- Pelvic floor exercises (Kegels) recommended to maintain surgical results.
Results & Longevity
- Immediate relief from pelvic pressure, bulging, and urinary symptoms.
- Restoration of pelvic organ alignment and vaginal structure.
- Enhanced sexual comfort and bladder control.
- Long-term results with over 90–95% success rates in Korean hospitals.
- Natural, mesh-free anatomical reconstruction.
- Minimal recurrence when combined with proper aftercare and physiotherapy.
Treatment Process in Korea
South Korea is a global leader in uterus-preserving and minimally invasive prolapse surgery, offering precision, advanced technology, and exceptional postoperative care.
Most advanced and popular surgical techniques performed in Korea:
- Laparoscopic and robotic HUSLS for advanced visualization and precision.
- Mesh-free native tissue reconstruction using natural ligaments.
- Hybrid vaginal-laparoscopic repair for multi-compartment prolapse.
- Laser-assisted vaginal reinforcement for collagen tightening and healing.
- 3D pelvic floor imaging and AI-guided surgical planning for customized procedures.
Unique Korean methods or technology:
- Pain-free anesthesia and rapid-recovery protocols.
- Fertility-preserving pelvic reconstruction tailored for younger women.
- Aesthetic-functional hybrid pelvic restoration.
- One-day minimally invasive surgery systems with digital follow-ups.
- Comprehensive pelvic rehabilitation programs for long-term success.
Why Korea is considered a top destination for this surgery:
- Globally certified pelvic reconstructive surgeons with advanced laparoscopic expertise.
- Hospitals equipped with 4K/3D laparoscopic and Da Vinci robotic systems.
- Focus on functionality, aesthetics, and natural tissue reconstruction.
- Affordable yet world-class surgical outcomes.
- Comprehensive postoperative support and rehabilitation.
Cost Range
The cost of High Uterosacral Ligament Suspension in Korea depends on the surgical technique, hospital type, and case complexity:
- Typical Range: USD 4,000 – 8,000
- Vaginal Mesh-Free HUSLS: USD 3,500 – 5,500
- Laparoscopic or Robotic-Assisted Suspension: USD 5,000 – 8,500
- Comprehensive Surgical Package (Anesthesia, Hospital Stay, Follow-Up): USD 4,500 – 8,000
Korean hospitals offer transparent, all-inclusive pricing, covering consultation, imaging, anesthesia, surgery, hospitalization, and follow-up. International patients can access medical tourism programs offering translation, transportation, and personalized recovery coordination.
Popular Clinics with Advanced High Uterosacral Ligament Suspension in Korea
- Seoul Miz Hospital – Specializes in uterus-preserving and minimally invasive pelvic reconstructive surgeries.
- MizMedi Hospital (Seoul) – Expert in laparoscopic and robotic high uterosacral suspension procedures.
- Yoonho OB/GYN Hospital (Gangnam) – Known for aesthetic-functional reconstructive pelvic surgery.
- Gangnam Women’s Hospital – Focuses on mesh-free and hybrid pelvic repair with rapid recovery systems.
- Asan Medical Center (Seoul) – Korea’s leading tertiary hospital for advanced robotic pelvic reconstruction.
- Samsung Medical Center (Seoul) – Global innovator in robotic and laparoscopic uterine suspension.
- Kyung Hee University Hospital at Gangdong – Academic hospital specializing in advanced pelvic organ repair and rehabilitation.
