OBJECTIVE To evaluate the results of sacrospinous colpopexy surgery associated with anterior colporrhaphy for the treatment of women with post-hysterectomy vaginal vault prolapse. METHODS This prospective study included 20 women with vault prolapse, Pelvic Organ Prolapse Quantification System (POP-Q) stage ≥ 2, treated between January 2003 and February 2006, and evaluated in a follow-up revie...

BACKGROUND AND PURPOSE Laparoscopic sacrocolpopexy offers a minimally invasive approach to correcting vaginal vault prolapse. We describe our operative technique and review our experience. PATIENTS AND METHODS A retrospective study of 10 patients who underwent laparoscopic sacrocolpopexy between February 2000 and June 2002 for posthysterectomy vaginal vault prolapse was performed. Data collec...

OBJECTIVE To assess perioperative and medium-term outcome after laparoscopic sacrocolpopexy with or without robotic assistance for vaginal vault prolapse in a Hong Kong tertiary centre. DESIGN Retrospective study. SETTING An urogynaecology unit in Hong Kong. PATIENTS All women who underwent laparoscopic sacrocolpopexy with or without robotic assistance for vaginal vault prolapse from Marc...

Transabdominal sacrocolpopexy has been shown, in multiple long-term studies of its success and durability, to be the definitive treatment option for post-hysterectomy vaginal vault prolapse. It is, however, associated with greater morbidity than vaginal repair. We describe a minimally invasive technique for vaginal vault prolapse repair and present our experience with a minimum of one-year foll...

Pelvic organ prolapse (POP) is common in women and may impair quality of life. Although vaginal pessary can relieve the symptoms and improve quality of life, women may opt for surgical treatment. This paper reviews some common surgical options for POP and their outcome. Anterior colporrhaphy is commonly performed for anterior compartment prolapse but the reported recurrence rate was high. Reinf...

OBJECTIVES A prospective study was conducted to assess the efficacy of sacrospinous vaginal vault fixation and its impact on the anterior compartment. The Pelvic Organ Prolapse Quantification (POP-Q) system was used to quantify pelvic organ prolapse in the apical and anterior vaginal compartments. METHODS Fifty-eight patients underwent a procedure to correct apical prolapse from March 2003 to...

Hypothesis / aims of study Despite increase in popularity of uterus preserving techniques, vaginal hysterectomy is still a common option in the surgical treatment of uterine prolapse. However, in pelvic organ prolapse (POP) special attention has to be paid to a sufficient suspension of the vaginal vault in order to prevent recurrence of descent and to protect possibly additional repair of the v...

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...

Definition Vaginal vault prolapse is defined as descent of the vaginal cuff below a point that is 2 cm less than the total vaginal length above the plane of the hymen. Or simply, the uppermost part of the vagina descends from its normal position, sometimes out through the vaginal opening. Uterovaginal prolapse has been described as an entity as early as 1550 BC in ancient Egyptian literature an...

We describe the case of a 68-year-old woman who presented with an acute onset spontaneous vaginal vault rupture and intestinal prolapse through the vagina. Results of a literature survey are presented and the causes of vaginal vault rupture are discussed.