Treatment Overview
Uterosacral Ligament Vaginal Suspension (USLS) is a minimally invasive reconstructive gynecologic surgery designed to correct vaginal vault or uterine prolapse — conditions where the top of the vagina or uterus descends due to weakened pelvic floor ligaments. The procedure involves reattaching the vaginal apex or uterus to the uterosacral ligaments, which naturally support the uterus and upper vagina, thereby restoring normal pelvic anatomy and function.
In Korea, this surgery is a key procedure under Women’s Health / OBGYN – Surgical Gynecology and is performed by expert pelvic reconstructive surgeons using advanced mesh-free and laparoscopic-assisted techniques. Korean hospitals are known globally for their precision, safety, and high success rates in pelvic organ prolapse repair, offering patients durable results, minimal recovery time, and preservation of both function and aesthetics.
Purpose & Benefits
- Corrects vaginal vault prolapse, uterine prolapse, or combined pelvic organ prolapse.
- Restores pelvic floor support using the patient’s natural ligaments (no synthetic mesh).
- Relieves symptoms such as vaginal bulging, pelvic pressure, urinary leakage, or constipation.
- Preserves vaginal length, function, and natural anatomy.
- Improves sexual comfort and bladder control.
- Minimally invasive — small incisions, less pain, and quick recovery.
- Offers long-term success with low recurrence when performed by skilled surgeons.
Ideal Candidates
- Women with vaginal vault or uterine prolapse (mild to moderate cases).
- Patients with symptoms such as vaginal bulge, pelvic heaviness, or urinary incontinence.
- Post-hysterectomy patients experiencing vaginal vault prolapse.
- Women seeking a mesh-free, natural-tissue reconstructive option.
- Patients desiring aesthetic and functional restoration of the vaginal structure.
Possible Risks & Complications
USLS is among the safest prolapse surgeries performed in Korea. However, minor temporary side effects may include:
- Mild vaginal soreness or spotting.
- Temporary urinary retention or difficulty emptying the bladder.
- Pelvic discomfort or swelling for a few days.
- Rare ureteral irritation (minimized by intraoperative visualization and precision).
- Infection or scar tissue formation (rare and manageable).
- Minimal recurrence when pelvic exercises are maintained post-surgery.
Korean hospitals employ laparoscopic imaging, intraoperative cystoscopy, and advanced suturing systems to minimize these risks.
Surgical Techniques Used
Korean OBGYN specialists perform Uterosacral Ligament Vaginal Suspension using the latest mesh-free and minimally invasive techniques, customized for each patient’s anatomy:
- Traditional Vaginal Uterosacral Ligament Suspension: The vaginal apex is reattached to the uterosacral ligaments using permanent or delayed-absorbable sutures through a small vaginal incision.
- High Uterosacral Ligament Suspension (HUSLS): Used for advanced prolapse to achieve higher, more durable pelvic support.
- Laparoscopic-Assisted USLS: Combines vaginal and laparoscopic visualization for superior precision and reduced risk of ureteral injury.
- Bilateral Suspension: Reinforces both ligaments symmetrically for balanced support and longevity.
- Uterus-Preserving Suspension: Repositions the uterus while maintaining fertility and natural function.
- Hybrid Vaginal-Laparoscopic Approach: Offers optimal anatomical restoration with minimal recovery time.
Korean hospitals use 4K/3D laparoscopic imaging, AI-assisted pelvic mapping, and micro-suturing instruments to ensure exact placement and long-term stability.
Recovery & Aftercare
- Hospital stay: Usually 1–2 days; outpatient options available for minor cases.
- Recovery time: Most patients resume light activity within 1–2 weeks, full recovery in 4–6 weeks.
- Mild spotting or pelvic discomfort may occur briefly.
- Avoid sexual intercourse, tampon use, and heavy lifting for 4–6 weeks.
- Short walks encouraged to improve circulation.
- Follow-up visits: Typically at 2 and 6 weeks post-surgery.
- Pelvic floor exercises (Kegels) recommended for long-term support maintenance.
Results & Longevity
- Immediate relief from prolapse symptoms and pelvic discomfort.
- Restores vaginal support, structure, and natural function.
- Improves sexual comfort and quality of life.
- Long-lasting results with over 90% success rate in leading Korean hospitals.
- Natural, mesh-free results with minimal recurrence.
- Enhanced vaginal appearance and internal support.
Treatment Process in Korea
South Korea is a global hub for advanced pelvic reconstructive surgery, offering a combination of cutting-edge medical technology, highly skilled surgeons, and exceptional patient care.
Most advanced and popular surgical techniques performed in Korea:
- Vaginal and Laparoscopic Uterosacral Ligament Suspension.
- High Uterosacral Suspension for advanced prolapse cases.
- Hybrid laparoscopic-vaginal pelvic floor reconstruction.
- Laser-assisted vaginal tightening for improved tissue healing.
- 3D and robotic-assisted surgical navigation for enhanced accuracy.
Unique Korean methods or technology:
- Mesh-free reconstructive innovation for safe, natural healing.
- Pain-free anesthesia and enhanced recovery systems.
- Fertility-preserving uterine suspension techniques.
- AI-guided pelvic mapping for customized surgical planning.
- One-day minimally invasive surgical systems with short recovery stays.
Why Korea is considered a top destination for this surgery:
- Globally certified surgeons specializing in pelvic reconstructive and urogynecologic surgery.
- Hospitals equipped with Da Vinci robotic platforms and 3D/4K imaging systems.
- Focus on functionality, aesthetics, and long-term patient satisfaction.
- Affordable yet world-class healthcare quality.
- Excellent postoperative care and rehabilitation support for international patients.
Cost Range
The cost of Uterosacral Ligament Vaginal Suspension in Korea varies based on the hospital, surgical approach, and case complexity:
- Typical Range: USD 3,500 – 7,000
- Standard Vaginal Suspension: USD 3,500 – 5,500
- Laparoscopic-Assisted or High Suspension: USD 5,000 – 8,000
- Comprehensive Surgical Package (Anesthesia, Hospital Stay, Follow-Up): USD 4,000 – 7,500
Most Korean hospitals offer transparent, all-inclusive pricing covering consultation, preoperative tests, anesthesia, surgery, and follow-up care. International medical tourism packages include translation services, travel assistance, and recovery coordination.
Popular Clinics with Advanced Uterosacral Ligament Vaginal Suspension in Korea
- Seoul Miz Hospital – Expert in uterus-preserving and mesh-free pelvic floor reconstruction.
- MizMedi Hospital (Seoul) – Offers high uterosacral suspension with laparoscopic precision.
- Yoonho OB/GYN Hospital (Gangnam) – Specialized in functional and aesthetic vaginal reconstructive surgery.
- Gangnam Women’s Hospital – Known for natural, minimally invasive prolapse correction.
- Asan Medical Center (Seoul) – Korea’s premier tertiary hospital for robotic and complex pelvic reconstruction.
- Samsung Medical Center (Seoul) – Global leader in minimally invasive and robotic-assisted gynecologic surgery.
- Kyung Hee University Hospital at Gangdong – Academic medical center offering advanced pelvic reconstructive care.
