In India, nulliparous prolapse cases constitute 1.5–2 % of genital prolapse; the incidence is even higher (5–8 %) for young women who have just delivered one or two children making it one of the highest in the world. The prevalence is very high in India because Indian women, especially those with poor socioeconomic status, are anemic and malnourished (‘maternal depletion syndrome’) with poorly developed pelvic floor tissues and the additional insult of one or more vaginal deliveries at home is sure to bring down the cervix and uterus.

The surgical management of uterine prolapse in women who wish to retain their uterus remains a challenge. Several techniques have been reported using open abdominal, laparoscopic and vaginal approaches. The laparoscopic approach offers both excellent intraoperative visualisation of supportive and adjacent structures and quick postoperative recovery. Currently, laparoscopic suspension of the uterus to the round ligaments, uterosacral ligaments, suture and synthetic mesh suspension to the sacral promontory have been reported. This report describes a new surgical technique of laparoscopic uterine suspension, Mersilene tape is used to suspend the uterus to the sacral promontory bilaterally and to recreate new uterosacral ligaments.