What is Uterosacral Colposuspension?

What is Uterosacral Colposuspension?

The technique for Uterosacral Ligament (USL) Colposuspension is best begun by placement of permanent sutures 3 cm from the cervix, through each of the USL’s, while tented up by the intact uterus, after visualizing the ureters.

What is a Uterosacral colpopexy?

Uterosacral colpopexy is a common transvaginal procedure for apical prolapse and can be performed at the time of vaginal hysterectomy.

Are Uterosacral ligaments removed during hysterectomy?

The parametrial tissue is divided. The uterine vessels and ligated and tied. The paracervical tissue and uterosacral ligaments are ligated and tied. The vagina is opened and the uterus and cervix removed.

Is hysterectomy necessary for uterine prolapse?

Can The Uterine Prolapse Be Treated Without Hysterectomy? A Resounding YES! Many gynecologists feel the best way to treat a falling uterus is to remove it, with a surgery called a hysterectomy, and then attach the apex of the vagina to healthy portions of the ligaments up inside the body.

What is Uterosacral?

The uterosacral ligaments are strong supportive structures that attach the cervix (neck of the womb) to the sacrum (bottom of the spine). Weakness and stretching of these ligaments can contribute to pelvic organ prolapse.

What is intraperitoneal Colpopexy?

Sacral colpopexy, also known as sacrocolpopexy or sacrospinous colpopexy, is a surgical procedure used to correct pelvic organ prolapse in women. When the muscles around a woman’s pelvis weaken, the pelvic organs can prolapse (slide out of place). This creates a bulge in the vagina.

What is a Uterosacral ligament?

The uterosacral ligaments are support structures that typically keep the cervix and uterus in the pelvis. As those ligaments weaken and stretch, women can develop prolapse.

What is a uterosacral ligament suspension?

A uterosacral ligament suspension is a surgical procedure to restore the support of the top of the vagina after hysterectomy. It can be performed at the same time as a hysterectomy or later on in life in women who have previously undergone a hysterectomy.

What is the CPT code for reattachment of the uterosacral ligaments?

CPT code 57425 should not be used to report routine reattachment of the uterosacral ligaments to the vaginal cuff after completion of hysterectomy. This is considered a routine component of the hysterectomy procedure and cannot be separately coded. CPT code 57425 is specific to vaginal suspensory procedures which involve placement of an artificial

What kind of doctor performs uterosacral ligament suspension?

At Northwestern Medicine, your Urogynecologist will perform the uterosacral ligament suspension via a minimally invasive surgical (MIS) route; the most common way to perform it is through the vagina, however, it can also be done utilizing conventional laparoscopy and the robotic surgical system.

What is the CPT code for laparoscopic sacral colpopexy?

CPT code 57280 is an open surgical code for sacral colpopexy, and is not appropriate to bill in the setting of a laparoscopic procedure. As with CPT code 57425 it is specific to a procedure which includes an artificial graft placed on the anterior and posterior vaginal walls, and affixed to the sacrum.