Ventrosuspension (Correction of a Retroverted Uterus)

As many as 20% of women have a so-called retroverted uterus in which the uterus is tilted backwards instead of forwards (anteverted):

For the majority of patients, a retroverted uterus is natural, and most patients experience no symptoms or problems during normal life or pregnancy related to the retroverted uterus. However, some patients with a retroverted uterus experience chronic pelvic pain, dyspareunia (pain during sexual intercourse) and dysmenorrhea (pain during menstruation). It has been shown that correction of uterus retroversion by surgery can reduce or eliminate these symptoms. It is important to note uterus retroversion is not believed to itself influence fertility, however other pelvic pathologies such as endometriosis and fibroids can be the cause of both a retroverted uterus and infertility; it is therefore be necessary to treat the underlying conditions (such as the endometriosis or fibroids) in order to improve fertility, not the retroverted uterus itself. Thus correction of a retroverted uterus is required to improve pain associated with retroversion but not fertility.

Correction of a retroverted uterus is completed via a surgical technique, ventrosuspension. During ventrosuspension, the retroverted uterus is moved into an anteverted position by shortening the ligaments (“round ligaments”) which hold the uterus in position by attaching them to the abdominal wall.

Images of the ventrosuspension technique taken by Mr. Trehan are shown below:

  • Ventrosuspension 1
  • Ventrosuspension 2
  • Ventrosuspension 3
  • Ventrosuspension 4

Mr. Trehan performs all benign gynaecological procedures, including ventrosuspensions via laparoscopic (keyhole) surgery as it is associated with less post-operative pain and complications, a quicker recovery and a far superior cosmetic appearance when compared to laparotomy (open surgery). Mr. Trehan’s patients can be confident that their operation will be completed by keyhole means as Mr. Trehan’s conversion to laparotomy rate is amongst the lowest in the medical literature, as are his major complication rates, reoperation rates and readmission rates. Further, over 90% of Mr Trehan’s patients are able to leave the hospital after just an overnight stay in hospital.