NASHUS: A Novel Surgical Approach for Apical Prolapse Repair Using Harvested Internal Ligaments.

INTRODUCTION

Pelvic organ prolapse (POP) surgery aims to restore apical support while minimizing complications. The Novel Apical Suspension Harvesting UteroSacral tissue (NASHUS) procedure is a minimally invasive technique utilizing the uterosacral ligament (USL) for apical suspension.

METHODS

Developed through pre-clinical cadaver work and in-vivo evaluation, NASHUS restores anatomy via precise USL mobilization, division, and suturing to apical tissue. Applicable to both hysteropexy and colpopexy, it offers laparoscopic, robotic, and open approaches. This article details surgical methodology, early clinical outcomes, and future innovative studies.

RESULTS

This article details surgical methodology, early clinical outcomes, and future innovative studies. Additionally, an accompanying video abstract demonstrates in-vivo laparoscopic NASHUS hysteropexy.

CONCLUSION

NASHUS presents a native tissue surgical alternative addressing apical prolapse with safety and durability in short term follow up.