1. Once ligated, the uterosacral ligaments are transfixed to the posterior lateral vaginal mucosa.

2. The uterosacral ligaments were clamped bilaterally, transected, and suture in a similar fashion.

3. It has many surgery approaches, such as laparoscopic uterine suspension to round ligament, laparoscopic sacral suture hysteropexy, laparoscopic suture uterosacral ligament hysteropexy.

4. Good specificity associated with a lower sensitivity was obtained in the diagnosis of deep endometriosis of uterosacral ligaments, rectosigmoid involvement or anterior deep endometriosis.

5. Objective To Compare and assess the effectiveness of presacral neurectomy and uterosacral ligament amputation in women with dysmenorrhea caused by pelvic endometriosis.

6. Physical examination. The physician should palpate for a fixed, retroverted uterus, adnexal and uterine tenderness, pelvic masses or nodularity along the uterosacral ligaments.