title: Transvaginal sacrospinous hysteropexy.
abstract: OBJECTIVE
  Sacrospinous hysteropexy provides a transvaginal technique for pelvic organ prolapse (POP) repair with uterine preservation. The objective of the video is to provide an instructional guide for sacrospinous hysteropexy.
  
  
  METHODS
  The featured patient is a 73-year-old woman with anterior predominant stage 3 POP. The video outlines the steps and surgical principles necessary to achieve a successful sacrospinous hysteropexy.
  
  
  RESULTS
  Sacrospinous hysteropexy provides a transvaginal approach to POP repair that minimizes operative times and reduces blood loss and risk of lower genitourinary tract injury.
  
  
  CONCLUSIONS
  Sacrospinous hysteropexy is a timely technique in an era of increasing interest in uterine preservation and should be considered by surgeons well versed in transvaginal surgery.
authors.affiliation: Section of Female Pelvic Medicine and Reconstructive Surgery, Glickman Urological Institute, 9500 Euclid Ave Q10, Cleveland Clinic, Cleveland, OH 44195, USA. alana.m.murphy.md@gmail.com
authors.forename: Alana M
authors.initials: AM
authors.lastname: Murphy
authors.forename: Howard B
authors.initials: HB
authors.lastname: Goldman
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D014599:Uterus; D014621:Vagina / Q000601:surgery*