What is a Hysteropexy?

A Hysteropexy is a surgery where the uterus is attached to a ligament in the pelvis. There are several different types of hysteropexies and Dr. Stone specializes in all of them. A Sacrohysteropexy is very similar to a Sacrocolpopexy . In this surgery, the uterus is attached to a ligament along the sacrum with a strip of mesh . Dr. Stone specializes in a minimally invasive laparoscopic approach for this surgery by doing it through small incisions in the abdomen. A robot is often used to assist Dr. Stone with this surgery. During this surgery, Dr. Stone will dissect the bladder off the front portion of the vagina, as well as dissect the rectum off of the back portion of the vagina. He will then place a mesh to both the front and back walls of the vagina and attach the other side of the mesh to a ligament on the sacrum. A Sacrohysteropexy is one of the most durable uterine sparing approaches to fix prolapse and restore normal anatomy. A sacrospinous ligament hysteropexy is a vaginal surgery where sutures are used to pull up the uterus and cervix to the sacrospinous ligament. No mesh is used in this surgery. A uterosacral ligament hysteropexy is a laparoscopic or robotic-assisted surgery where Dr. Stone uses suture to shorten the uterosacral ligament, causing it to pull the vagina and uterus up. No mesh is used in this surgery.

What condition does a hysteropexy treat?

Hysteropexy is used to treat uterine prolapse and the patient desires to keep the uterus. Symptoms of prolapse often include bulge, pressure and a sensation of something coming out.

Does a hysteropexy use mesh?

This depends on the type of hysteropexy that is used. Dr. Stone can use your own tissue or use mesh . Mesh generally increases durability and success rates but also can lead to mesh-related complications. Using your own tissue has the advantage of eliminating mesh-related complications but also has a higher rate of recurrence. Dr. Stone will discuss this with you before any decision is made.

What is the recovery like?

Dr. Stone recommends 6 weeks of no heavy lifting (no more than 15 lbs) and 6 weeks of pelvic rest after these procedures.

What are the risks of hysteropexy?

Risks include the following: Pain, swelling, numbness near incision sites Infection Bleeding Damage to nearby organs such as bowel, bladder, and rectum Blood clots and problems related to anesthesia Mesh exposure (~1%) if a sacrohysteropexy is performed

What are the alternatives to this repair?

There are several alternatives that Dr. Stone will discuss with you. Conservative alternatives will include "watching and waiting", pessary placement, and pelvic floor physical therapy . The primary surgical alternative is hysterectomy with either a vaginal vault suspension or a sacrocolpopexy . These procedures have been studied more extensively than hysteropexies. Dr. Stone will discuss with you the advantages and disadvantages of each approach and individualize his recommendation based on your values, expectations and specific condition.

Are there any other surgeries that are commonly performed with hysteropexy?

Yes, rarely is this surgery performed in isolation. Dr. Stone will discuss with you any other surgeries that would be performed at the same time. Other commonly performed surgeries include: Bilateral Salpingo-oophorectomy (removal of tubes and ovaries) Bilateral Salpingectomy (removal of tubes) Other prolapse repair surgeries Cystocele repair (bladder prolapse repair) Rectocele repair (rectocele repair) Perineorrhaphy (vaginal opening repair) Cystoscopy (a camera is used to look inside the bladder) Anti-incontinence surgeries Mid-urethral sling Pubovaginal (Fascial) sling Burch Procedure

Hysteropexy Specialist

Home » Treatments » Hysteropexy

Dr. Daniel Stone, MD FACOG

Urogynecologist located in Phoenix, AZ

Dr. Daniel Stone, MD performs Robotic-assisted, laparoscopic and vaginal hysteropexies for patients in the Phoenix, Scottsdale and surrounding Arizona areas. These procedures can help patients that suffer from uterine prolapse, a form of pelvic organ prolapse who have failed conservative measures. These procedures have the advantage of preserving the uterus.

Hysteropexy Q&A

What is a Hysteropexy?
A Hysteropexy is a surgery where the uterus is attached to a ligament in the pelvis. There are several different types of hysteropexies and Dr. Stone specializes in all of them.
A Sacrohysteropexy is very similar to a Sacrocolpopexy. In this surgery, the uterus is attached to a ligament along the sacrum with a strip of mesh. Dr. Stone specializes in a minimally invasive laparoscopic approach for this surgery by doing it through small incisions in the abdomen. A robot is often used to assist Dr. Stone with this surgery. During this surgery, Dr. Stone will dissect the bladder off the front portion of the vagina, as well as dissect the rectum off of the back portion of the vagina. He will then place a mesh to both the front and back walls of the vagina and attach the other side of the mesh to a ligament on the sacrum. A Sacrohysteropexy is one of the most durable uterine sparing approaches to fix prolapse and restore normal anatomy.
A sacrospinous ligament hysteropexy is a vaginal surgery where sutures are used to pull up the uterus and cervix to the sacrospinous ligament. No mesh is used in this surgery.
A uterosacral ligament hysteropexy is a laparoscopic or robotic-assisted surgery where Dr. Stone uses suture to shorten the uterosacral ligament, causing it to pull the vagina and uterus up. No mesh is used in this surgery.
What condition does a hysteropexy treat?
Hysteropexy is used to treat uterine prolapse and the patient desires to keep the uterus. Symptoms of prolapse often include bulge, pressure and a sensation of something coming out.
Does a hysteropexy use mesh?
This depends on the type of hysteropexy that is used. Dr. Stone can use your own tissue or use mesh. Mesh generally increases durability and success rates but also can lead to mesh-related complications. Using your own tissue has the advantage of eliminating mesh-related complications but also has a higher rate of recurrence. Dr. Stone will discuss this with you before any decision is made.
What is the recovery like?
Dr. Stone recommends 6 weeks of no heavy lifting (no more than 15 lbs) and 6 weeks of pelvic rest after these procedures.
What are the risks of hysteropexy?
Risks include the following:
- Pain, swelling, numbness near incision sites
- Infection
- Bleeding
- Damage to nearby organs such as bowel, bladder, and rectum
- Blood clots and problems related to anesthesia
- Mesh exposure (~1%) if a sacrohysteropexy is performed
What are the alternatives to this repair?
There are several alternatives that Dr. Stone will discuss with you. Conservative alternatives will include "watching and waiting", pessary placement, and pelvic floor physical therapy. The primary surgical alternative is hysterectomy with either a vaginal vault suspension or a sacrocolpopexy. These procedures have been studied more extensively than hysteropexies. Dr. Stone will discuss with you the advantages and disadvantages of each approach and individualize his recommendation based on your values, expectations and specific condition.
Are there any other surgeries that are commonly performed with hysteropexy?
Yes, rarely is this surgery performed in isolation. Dr. Stone will discuss with you any other surgeries that would be performed at the same time. Other commonly performed surgeries include:
- Bilateral Salpingo-oophorectomy (removal of tubes and ovaries)
- Bilateral Salpingectomy (removal of tubes)
- Other prolapse repair surgeries
- Cystoscopy (a camera is used to look inside the bladder)
- Anti-incontinence surgeries

Testimonials

"He actually took the time and listened to me. After the exam he told me that he wanted to try another pessary before committing to surgery. He fit one in and it worked! I haven't felt this good in years. I'm so so grateful to him!"

"He is one of the most caring docs I've ever been to. I've been struggling with this problem for years and have been to 3 docs before I saw him."

"Dr. Stone is a really good doctor. After I had the urethra sling surgery Dr Stone called me at home to see how I was doing. The office staff is good. Dr Stone's nurse Iris is really good she returns calls. I will refer my family and friends to this office."

"Dr. Stone has been wonderful. I was very hesitant at first to see a man but he put me completely at ease. I was able to speak to him about my problem with leakage. He discussed several options and gave me choices which I loved. Eventually I decided on surgery. The surgery went well and I finally have my life back again."

"I highly recommend him. I will be referring all my loved ones if ever they develop problems."

"He put us at ease about the surgery by really explaining the procedure in detail to me, my husband and my daughter. He made me feel like I was his only patient."

"Awesome!! Would give him 10 stars!!!!! Dr. Stone took the time to fully explain medical procedures. He patiently answered all my questions."

"His bed-side manner put me at ease discussing a very embarrassing topic. I'd recommend him to anyone."

Major Insurance Providers Accepted

We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.

Schedule your appointment with Dr. Stone today

One of our staff members will contact you directly. If you have any concerns requiring immediate attention, please don’t hesitate to call us at 602-788-1521.

Office location

Valley Urogynecology Associates

1616 East Maryland Avenue

Phoenix, Arizona 85016-1302

Office Hours: Monday-Friday from 8 AM – 5 PM

Main: (602) 788-1521

Fax: (602) 688-5420

Conveniently located just off Highway 51 on Maryland Avenue just East of 16th Street between East Bethany Home Road and East Glendale Avenue.

Dr. Daniel Stone, MD