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Uterosacral ligament vaginal vault suspension: With aging populations, primary pelvic organ and recurrent pelvic organ prolapse have become a large-scale public health concern.

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Surgical options for patients include both abdominal and vaginal approaches, each with its own safety and efficacy profiles. This review summarizes the most recent anatomic, surgical and outcome data for uterosacral ligament vault suspension. It offers data on methods to avoid complications and difficult surgical scenarios.

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