Total Laparoscopic Management of Fallopian Tube Prolapse

Background: Fallopian tube prolapse is an infrequent complication of hysterectomy. Surgical management has been described by vaginal, abdominal, and combined approaches. More recently, laparoscopic management has been advocated generally in combination with vaginal surgery or in cases in which an initial vaginal operation was unsuccessful. Case: We report our totally laparoscopic technique for initial management of this condition in a 32-yearold woman who presented with lower abdominal cramping pain, vaginal spotting, and dyspareunia 1 year after vaginal hysterectomy. A diagnosis of tubovaginal prolapse was made based on physical examination and ultrasound. An outpatient laparoscopic salpingooophorectomy was performed with laparoscopic closure of the vaginal defect. The patient had full resolution of her symptoms. Conclusion: This case suggests that laparoscopic surgery can be used successfully for initial management of tubovaginal prolapse after hysterectomy without the need for a combined vaginal approach.