The Retrodisplacement of the uterus can be corrected transitorily with the help of laparoscopic hysteropexy to overcome the risk of postoperative adhesions. Retrodisplacement (retroversion or retroflexion) of the uterus is a condition in which uterus instead of forward position, curves backwards at the cervix. The condition is significantly related to posterior deep infiltrating endometriosis (DIE) and pelvic pain. Various prior studies showed evidence regarding hysteropexy efficacy to provide relief from pelvic pain symptoms. This study aimed to discover clinical, surgical along with sonographic outcomes of hysteropexy technique among forty‐two symptomatic females with uterine retrodisplacement and DIE. The women went through laparoscopic round ligament plication and tilting of the uterine fundus. Transvaginal and transperineal approaches were used for collecting sonographic data of each (uterine mobility, the angle of uterine version and uterine flexion) before and after the surgery. Pain, surgical complications and intraoperative data were measured at one, six months and one year postoperatively.

The hysteropexy procedure was completed in about 8 ± 3 min. Both retroversion or retroflexion were reduced significantly at the early follow-up (P < 0.001). During the one year follow-up, 12 patients noted with retroflexed, seven patients with retroverted angles and four patients observed with the negative sliding sign. The symptoms showed considerable improvement during the follow-up (P < 0.001). This reflects a good efficacy power of laparoscopic hysteropexy as an additional surgical procedure to correct uterus positionings and alleviates related symptoms.