2025 AUGS Clinical Meeting-Pelvic Surgical Anatomy and Native Tissue Prolapse Repair

Video Transcription

Video Summary

The presentation focused on pelvic surgical anatomy, specifically native tissue prolapse repair, with some references to non-native tissue repair. The anatomy of the pelvic bones and soft tissue structures were described, emphasizing the importance of landmarks like the ischial spine and sacrospinous ligament for surgical approaches. <br /><br />Dr. John Delancey's three levels of pelvic organ support were revisited. The talk covered the uterus sacral ligament's function in providing apical support during native tissue repair and its role in procedures like vaginal hysterectomy and uterosacral suspension.<br /><br />Also highlighted were the challenges and methods for anterior compartment defects and the limitations of the traditional anterior colporrhaphy, favoring paravaginal defect repairs for better outcomes. The discussion included a comparison of approaches to sacrospinous ligament fixation and the implications of these methods on post-surgery results, particularly concerning patient satisfaction and reducing recurrence rates.<br /><br />The session wrapped up with practical insights on surgical techniques, preferences for suture material, and anecdotal experiences, while also addressing challenges in restoring normal anatomy through anterior repairs and achieving lasting results.

Asset Subtitle

The three-dimensional anatomy of the female pelvis can be difficult to understand. This session utilizes video and the most up-to-date understanding of pelvic floor anatomy to help guide us during surgical reconstruction.

Speaker - Miles Murphy, MD, MSPH

Keywords

pelvic surgical anatomy

native tissue prolapse

ischial spine

uterus sacral ligament

anterior colporrhaphy

sacrospinous ligament fixation

paravaginal defect repairs