Treatment Overview
Laparoscopic Uterosacral Ligament Suspension (L-USLS) is an advanced uterus-preserving gynecologic surgery used to correct uterine or vaginal vault prolapse — conditions in which the uterus or vaginal apex descends due to weakened pelvic floor support. This minimally invasive technique involves re-suspending the uterus or vaginal apex to the uterosacral ligaments through a laparoscopic approach, restoring normal pelvic anatomy and function while maintaining fertility.
In Korea, Laparoscopic Uterosacral Ligament Suspension is one of the most refined and popular procedures under Women’s Health / OBGYN – Surgical Gynecology. Korean surgeons are globally recognized for their mesh-free, precision-based, and robotic-assisted pelvic reconstructive techniques, utilizing 4K/3D imaging systems, micro-suturing, and AI-guided surgical mapping to achieve outstanding anatomical and aesthetic results.
Purpose & Benefits
- Corrects uterine or vaginal vault prolapse effectively without hysterectomy.
- Restores uterine position and strengthens pelvic support.
- Relieves symptoms such as vaginal bulging, pelvic pressure, urinary incontinence, or constipation.
- Minimally invasive – small incisions, less pain, and faster recovery.
- Preserves uterus, fertility, and hormonal balance, ideal for younger women.
- Improves sexual function, bladder control, and pelvic comfort.
- Avoids synthetic mesh, using natural ligaments for suspension.
- Long-term success and aesthetic, functional restoration.
Ideal Candidates
- Women with uterine or vaginal vault prolapse (mild to advanced).
- Patients seeking uterus preservation and a natural-tissue repair.
- Women who previously had hysterectomy and developed vault prolapse.
- Patients experiencing pelvic pressure, urinary leakage, or vaginal bulging.
- Women preferring mesh-free, minimally invasive reconstructive surgery.
- Those desiring a fast recovery and long-term pelvic stability.
Possible Risks & Complications
Laparoscopic Uterosacral Ligament Suspension is among the safest reconstructive procedures when performed by skilled Korean surgeons. Minor and temporary side effects may include:
- Mild pelvic discomfort or soreness for a few days.
- Light vaginal spotting or discharge.
- Temporary urinary retention (usually resolves within 48 hours).
- Rare infection or inflammation (preventable with antibiotics).
- Minimal recurrence risk when postoperative care is followed.
- Extremely rare ureteral injury (prevented using real-time laparoscopic visualization).
Korean hospitals reduce these risks using robotic precision, AI-assisted mapping, and microsurgical techniques to ensure safe, accurate, and effective outcomes.
Surgical Techniques Used
Korean OBGYN surgeons are global leaders in uterus-preserving and minimally invasive pelvic reconstructive techniques, using advanced variations of laparoscopic uterosacral ligament suspension:
- Laparoscopic Uterosacral Ligament Suspension (Standard): The uterus or vaginal vault is suspended and fixed to the uterosacral ligaments with absorbable or permanent sutures.
- High Uterosacral Suspension: Provides a stronger and higher elevation of the uterus, ideal for advanced prolapse cases.
- Bilateral Suspension: Both ligaments are used for symmetrical pelvic support and long-term durability.
- Hybrid Laparoscopic-Vaginal Suspension: Combines laparoscopy with vaginal reinforcement for complex prolapse correction.
- Robotic-Assisted Uterosacral Suspension (Da Vinci System): Enhances precision, minimizes tissue trauma, and improves recovery.
- Mesh-Free Native Tissue Suspension: Uses only the patient’s natural ligaments for reinforcement, ensuring safety and natural results.
Korean hospitals use 4K/3D laparoscopic visualization, AI-guided pelvic mapping, and ultra-fine micro-instruments for superior anatomical accuracy and lasting stability.
Recovery & Aftercare
- Hospital stay: 1–2 days; outpatient options available for less complex cases.
- Recovery time: Light activities resumed within 1–2 weeks, full recovery in 4–6 weeks.
- Mild cramping, swelling, or spotting may occur for a few days.
- Avoid sexual intercourse, tampon use, and strenuous exercise for 4–6 weeks.
- Short daily walks encouraged to promote circulation.
- Follow-up visits: At 2 and 6 weeks post-surgery.
- Pelvic floor exercises (Kegels) recommended to maintain long-term pelvic strength.
Results & Longevity
- Immediate improvement in pelvic organ position and symptom relief.
- Restores uterine or vaginal alignment and natural pelvic anatomy.
- Enhanced sexual comfort, bladder function, and pelvic stability.
- Invisible scars and minimal postoperative pain.
- Over 90–95% success rate in top Korean hospitals.
- Long-lasting results with a low recurrence rate.
Treatment Process in Korea
South Korea is globally recognized for its excellence in uterus-preserving and minimally invasive pelvic reconstructive surgery, offering the perfect balance of precision, innovation, and patient care.
Most advanced and popular surgical techniques performed in Korea:
- Laparoscopic and robotic uterosacral ligament suspension (mesh-free).
- High Uterosacral Suspension for advanced prolapse cases.
- Hybrid laparoscopic-vaginal reconstruction.
- Laser-assisted collagen tightening to improve tissue healing.
- AI-guided pelvic floor mapping and surgical navigation.
Unique Korean methods or technology:
- Pain-free anesthesia and enhanced recovery systems.
- Fertility-preserving and uterus-sparing surgical focus.
- Aesthetic-functional pelvic restoration for improved comfort and appearance.
- One-day surgical programs for convenience and efficiency.
- Comprehensive rehabilitation and physiotherapy programs post-surgery.
Why Korea is a top destination for this surgery:
- World-renowned, fellowship-trained OBGYN reconstructive surgeons.
- Hospitals equipped with Da Vinci robotic systems and 3D/4K imaging platforms.
- Emphasis on safety, precision, and long-term natural outcomes.
- Affordable compared to Western countries while maintaining world-class care.
- Strong medical tourism infrastructure with multilingual assistance.
Cost Range
The cost of Laparoscopic Uterosacral Ligament Suspension in Korea depends on hospital type, surgical complexity, and technology used:
- Typical Range: USD 4,000 – 8,500
- Standard Laparoscopic Suspension: USD 4,000 – 6,000
- Robotic-Assisted Suspension: USD 6,000 – 9,000
- Mesh-Free or Native Tissue Repair: USD 4,500 – 7,500
- Comprehensive Surgical Package (Anesthesia, Hospital Stay, Follow-Up): USD 4,500 – 8,000
Most hospitals in Korea offer transparent all-inclusive pricing, covering consultation, preoperative diagnostics, anesthesia, surgery, hospitalization, and postoperative care. International patients can benefit from medical tourism packages with translation, transportation, and recovery assistance.
Popular Clinics with Advanced Laparoscopic Uterosacral Ligament Suspension in Korea
- Seoul Miz Hospital – Expert in uterus-preserving laparoscopic and robotic uterosacral suspension.
- MizMedi Hospital (Seoul) – Renowned for hybrid laparoscopic-vaginal reconstructive techniques.
- Yoonho OB/GYN Hospital (Gangnam) – Specialized in functional and aesthetic pelvic reconstructive surgery.
- Gangnam Women’s Hospital – Focuses on mesh-free laparoscopic pelvic repair and rapid recovery.
- Asan Medical Center (Seoul) – Korea’s leading tertiary hospital for robotic pelvic and uterine surgeries.
- Samsung Medical Center (Seoul) – Global leader in robotic and minimally invasive gynecologic surgery.
- Kyung Hee University Hospital at Gangdong – Academic pioneer in laparoscopic and uterus-preserving pelvic reconstruction.
