Subtotal vaginal hysterectomy with sacrospinous ligament fixation for treatment of uterine prolapse

We report a case of severe uterine prolapse in a 43-year-old woman. She had presented with menorrhagia, dyspareunia, and backache for several years, which were treated (unsuccessfully) with medication. Preoperative cervical biopsy and cytology were benign. Vaginal subtotal hysterectomy and sacrospinous ligament fixation were performed, and the endocervix and exocervix were then ablated electrosurgically to minimize the potential of vaginal bleeding and neoplastic transformation. It allowed for a normal social and sexual life for this patient.