Treatment Overview
Sacrospinous Ligament Fixation (SSLF) is a specialized reconstructive gynecologic surgery used to correct vaginal vault prolapse or uterine prolapse, conditions in which the top portion of the vagina or uterus descends due to weakened pelvic support. During this procedure, the vaginal apex (top of the vagina) is attached to the sacrospinous ligament, a strong ligament near the sacrum, restoring the normal position and function of pelvic organs.
In Korea, Sacrospinous Ligament Fixation is performed under Women’s Health / OBGYN – Surgical Gynecology using advanced minimally invasive and mesh-free techniques. Korean surgeons are globally recognized for their expertise in pelvic reconstructive and urogynecologic surgery, employing high-definition 3D imaging, microsurgical suturing, and laser-assisted tools for superior accuracy, natural results, and rapid recovery.
Purpose & Benefits
- Corrects vaginal vault or uterine prolapse by restoring the vaginal apex to its natural position.
- Strengthens pelvic floor support using the body’s native ligament (no synthetic mesh).
- Relieves symptoms such as vaginal bulging, pelvic pressure, urinary leakage, or bowel discomfort.
- Preserves vaginal length, axis, and function, ensuring natural structure and comfort.
- Minimally invasive — small incisions, minimal pain, and short hospital stay.
- Improves sexual function, bladder control, and overall pelvic stability.
- Offers long-term results with very low recurrence rates.
Ideal Candidates
- Women diagnosed with vaginal vault prolapse after hysterectomy.
- Patients with uterine or multi-compartment pelvic organ prolapse.
- Women experiencing vaginal bulging, pelvic pressure, or urinary dysfunction.
- Patients preferring a mesh-free, natural-tissue repair.
- Women seeking anatomical, functional, and aesthetic restoration through minimally invasive surgery.
Possible Risks & Complications
Sacrospinous Ligament Fixation is extremely safe when performed by experienced Korean pelvic surgeons. However, some minor and temporary side effects may occur, such as:
- Mild vaginal soreness or light bleeding.
- Temporary buttock pain or tenderness (resolves in days to weeks).
- Temporary urinary retention or difficulty emptying the bladder.
- Infection or inflammation (rare and easily treated).
- Minimal risk of recurrence or nerve irritation.
Korean hospitals minimize these risks through advanced imaging guidance, precise suture placement, and enhanced postoperative monitoring.
Surgical Techniques Used
Korean gynecologic surgeons utilize refined native tissue reconstructive techniques, emphasizing precision, comfort, and durability:
- Traditional Sacrospinous Ligament Fixation (Vaginal Route): The vaginal apex or uterus is secured to the sacrospinous ligament through a small vaginal incision using permanent or delayed-absorbable sutures.
- Laparoscopic-Assisted SSLF: Combines vaginal access with internal visualization for enhanced accuracy and reduced trauma.
- Bilateral SSLF (Dual Suspension): Both ligaments are used for symmetrical pelvic support.
- Uterus-Preserving SSLF: Ideal for women who wish to maintain fertility or natural anatomy.
- Hybrid Vaginal-Laparoscopic Suspension: Integrates the advantages of both approaches for optimal function and stability.
- Laser or Energy-Assisted Suturing: Enhances precision and reduces postoperative discomfort.
Korean hospitals also integrate 3D pelvic imaging, AI-guided mapping, and robotic assistance for precise identification of the sacrospinous ligament and safe suture placement.
Recovery & Aftercare
- Hospital stay: 1–2 days; some cases may qualify for same-day discharge.
- Initial recovery: 1–2 weeks for light activities; full recovery in 4–6 weeks.
- Mild swelling or spotting may occur for a few days.
- Avoid sexual intercourse, tampon use, and heavy lifting for 4–6 weeks.
- Light walking and stretching encouraged post-surgery.
- Follow-up visits: Usually at 2 weeks and 6 weeks post-surgery.
- Pelvic floor strengthening (Kegel exercises) recommended to maintain long-term results.
Results & Longevity
- Immediate improvement in vaginal support and pelvic comfort.
- Restoration of normal vaginal anatomy and function.
- Relief from prolapse symptoms such as pressure, bulging, or urinary leakage.
- Enhanced sexual function and vaginal confidence.
- Long-lasting, natural results with minimal scarring or recurrence.
- No synthetic materials — ensuring safety and biocompatibility.
Treatment Process in Korea
South Korea is globally recognized for its innovation in pelvic reconstructive and urogynecologic surgery, combining advanced technology with high surgical precision.
Most advanced and popular surgical techniques performed in Korea:
- Vaginal and Laparoscopic Sacrospinous Ligament Fixation with mesh-free reconstruction.
- Hybrid pelvic suspension for multi-compartment prolapse correction.
- Laser-assisted or energy-based vaginal reconstruction for improved healing.
- 3D endoscopic and robotic-assisted pelvic visualization for precision.
- Comprehensive one-day surgery programs for domestic and international patients.
Unique Korean methods or technology:
- Pain-free anesthesia and enhanced recovery protocols.
- Fertility-preserving and aesthetic pelvic reconstruction.
- AI-guided pelvic mapping and 3D surgical navigation.
- Customized vaginal axis restoration techniques for natural appearance and function.
- Postoperative rehabilitation and digital follow-up systems.
Why Korea is considered a top destination for this surgery:
- Globally certified and fellowship-trained pelvic reconstructive surgeons.
- Hospitals equipped with Da Vinci robotic systems and 4K laparoscopic imaging.
- Focus on mesh-free, safe, and long-term results.
- Affordable treatment packages compared to Western medical costs.
- Superior postoperative care and high patient satisfaction rates.
Cost Range
The cost of Sacrospinous Ligament Fixation in Korea varies based on hospital type, technique, and case complexity:
- Typical Range: USD 3,500 – 7,000
- Vaginal Mesh-Free SSLF: USD 3,500 – 5,500
- Laparoscopic-Assisted or Bilateral SSLF: 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, covering preoperative consultation, anesthesia, surgery, postoperative monitoring, and follow-up. Medical tourism programs are available for international patients, offering translation, airport transfers, and hotel coordination.
Popular Clinics with Advanced Sacrospinous Ligament Fixation in Korea
- Seoul Miz Hospital – Expert in mesh-free pelvic reconstructive and vaginal suspension surgeries.
- MizMedi Hospital (Seoul) – Offers advanced vaginal and laparoscopic SSLF with rapid recovery systems.
- Yoonho OB/GYN Hospital (Gangnam) – Known for precise vaginal suspension and aesthetic gynecologic reconstruction.
- Gangnam Women’s Hospital – Focuses on functional, mesh-free pelvic repair and female wellness surgery.
- Asan Medical Center (Seoul) – Korea’s leading tertiary hospital for complex and robotic-assisted prolapse repair.
- Samsung Medical Center (Seoul) – Global pioneer in laparoscopic and urogynecologic reconstruction.
- Kyung Hee University Hospital at Gangdong – Academic institution offering advanced SSLF and pelvic floor programs.
