Defintion: Vault prolapse, also known as post-hysterectomy vaginal vault prolapse, refers to the descent of the vaginal vault (the top part of the vagina, where the uterus was) below its normal position.

The absence of the uterus after a hysterectomy can make the vaginal vault more susceptible to prolapse.

Weak pelvic floor support system.

Poor resuspension of ligaments during the primary surgery(hysterectomy).

A feeling of fullness or pressure in the pelvic area.

Difficulty emptying the bladder or bowels.

Changes in bowel function, such as difficulty having a bowel movement.

Pain during intercourse.

Preexisting pelvic floor defects.

Aging and hormonal changes, especially after menopause.

Chronic constipation or frequent straining during bowel movements.

Obesity.

Previous vaginal surgery for prolapse.

A proper diagnosis requires an in-office examination, where your healthcare provider will likely ask about your symptoms and conduct a pelvic exam.

Additional tests may be needed to rule out other conditions.

1. Conservative Measures:For some women, conservative measures, such as pelvic floor exercises(PFMT) and lifestyle modifications, may be sufficient to manage symptoms.

2. Surgical Intervention: If conservative measures are not effective, surgical intervention may be necessary.

3. Surgical options:

Sacrospinous fixation: This procedure involves attaching the vaginal vault to the sacrospinous ligament, a strong ligament in the pelvis.

Abdominal sacrocolpopexy: This procedure involves attaching the vaginal vault to the sacrum (the lower part of the spine) through an abdominal incision.

Vaginal uterosacral ligament suspension: This procedure involves using the uterosacral ligaments to support the vaginal vault.

Rectus fascia colpopexy: This procedure involves using the rectus fascia to support the vaginal vault.

Preventing Prolapse After Hysterectomy:

1. Pelvic Floor Muscle Therapy(PFMT): Strengthening the pelvic floor muscles can help prevent prolapse.

2. Managing Body Weight: Maintaining a healthy weight can reduce the strain on the pelvic floor.

3. Avoiding Heavy Lifting: Avoid heavy lifting, which can put extra pressure on the pelvic floor.

4. Managing Bowels: Regular bowel movements and avoiding straining can help prevent prolapse.

5. Managing Coughing: If you have a chronic cough, work with your doctor to find ways to manage it.

For Vault Prolapse/ Post-Hysterectomy Prolapse Treatment in Nagpur Call: +91 8446286033 / +91 9212011777