Laparoscopic ventrosuspension is a surgical option used to treat symptomatic uterine retroversion. In this condition, the uterus tilts backwards, with the body of the womb lying directly behind the vaginal vault. While many women experience no problems with this position, some may develop symptoms.

These can include discomfort during intercourse, lower back pain (particularly during menstruation), prolonged bleeding with cramping, and in some cases, reduced fertility.

It is important to note that a retroverted uterus is not considered an abnormality. In fact, up to 40% of women may be found to have a retroverted uterus on examination. In many cases, it causes no symptoms and may even correct itself over time. Treatment is only considered when symptoms are significant and affecting quality of life.

Ventrosuspension is generally recommended for women who still wish to have children. If a family is complete and symptoms are severe, hysterectomy may be a more appropriate option.

The Procedure

The operation is performed laparoscopically using three small incisions. One incision is made at the umbilicus (belly button) for the camera, and two small incisions are placed along the bikini line on either side of the midline.

The round ligaments of the uterus are used to gently bring the womb forward. They are then secured with sutures to the front abdominal wall, restoring the natural forward-facing (anteverted) position of the uterus.

Recovery and What to Expect

The round ligaments are sensitive structures, and it is common to experience discomfort after the procedure. Recovery may take up to three weeks.

Some women notice urinary frequency (needing to pass urine more often) and temporary difficulty standing fully upright in the early recovery period. Sleeping with a pillow under the knees can help relieve tension and improve comfort. Mild nerve sensitivity may persist for up to three months as healing continues.

Although recovery can require patience, long-term satisfaction with this procedure is generally high, with significant improvement or resolution of symptoms in most cases.

A future pregnancy is not affected by ventrosuspension. However, it is possible for the uterus to tilt backwards again following pregnancy.