Management of uterovaginal prolapse in women with medical comorbidities: a prospective case series of vaginal cerclage procedure

Introduction: Vaginal Cerclage is an alternative treatment procedure for uterovaginal prolapse. It is performed on those women who are regarded to be surgical candidates for vaginal hysterectomy but are unsuitable due to medical comorbidities. The purpose of this study was to determine the preliminary effectiveness of Vaginal Cerclage procedure at six months postoperative followup. Methods: This is a prospective case series of Vaginal Cerclage treatment done on 31 women. The study was conducted at Chitwan School of Medical Sciences from April 16, 2009 to July 30, 2010. The effectiveness of Vaginal Cerclage was measured by standardized Pelvic Floor Distress Inventory Questionnaire (PFDIQ). Results: Out of 31 women, 30 had significant improvement in their quality of life. A significant difference in mean from 241to 81.2 (p value 0.0000) was observed before and after Vaginal Cerclage treatment respectively. Conclusion: Vaginal Cerclage is an effective treatment procedure for the women with uterovaginal prolapse who are at risk for vaginal hysterectomy under general as well as regional anesthesia due to medical comorbidities.