Vaginal vault reconstruction and apical sling in the treatment of post-hysterectomy prolapsE

Vaginal Vault Prolapse

Introduction. Vaginal vault prolapse is a common complication following vaginal hysterectomy with negative impact on women's quality of life due to associated urinary, anorectal and sexual dysfunction. A clear understanding of the supporting mechanism for the uterus and vagina is important in making the right choice of corrective procedure. Management should be individualised, taking into consi...

[Abdominal sacrocolpopexy in surgical treatment of complete vaginal vault prolapse after hysterectomy].

INTRODUCTION The vaginal vault prolapse after hysterectomy is a complex disorder, which can be associated with the prolapse of anterior or posterior vaginal wall or cystorectocele. The exact incidence is unknown, and is within the range from 1 - 43% of operated patients. In order to achieve the complete surgical reconstruction of the pelvic floor disorder, a surgeon must have good knowledge of ...

Uterine and Vaginal Vault Prolapse

High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse.

OBJECTIVE The purpose of this study was to review retrospectively the functional and anatomic outcomes of women who underwent vaginal repair of enterocele and vault prolapse with the use of an intraperitoneal suspension of the vaginal vault to the uterosacral ligaments in conjunction with fascial reconstruction of the anterior and posterior vaginal wall. STUDY DESIGN Two hundred two women wit...

Laparoscopic sacral colpopexy for vaginal vault prolapse.

Laparoscopic sacral colpopexy can be used to treat vaginal vault and genital prolapse. After preparation, the vaginal apex is attached to the sacrum over the third and fourth sacral vertebrae using mesh.