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Post-hysterectomy vaginal vault prolapse

Department of Gynaecology, Weston General Hospital, Grange Road, Uphill, Weston Super Mare, North Somerset BS23 4TQ, UK. email: reda.afifi{at}waht.swest.nhs.uk. (corresponding author)

Ayman T Sayed, MRCOG

Registrar in Obstetricians and Gynaecology, Southend Hospital, UK.

Post-hysterectomy vaginal vault prolapse develops at the time of hysterectomy (vaginal or abdominal) when the superior vaginal support mechanism is disrupted. Understanding the anatomy of vaginal supports and the pathology of post-hysterectomy vaginal vault prolapse is essential to treating this condition effectively. Treatment should aim at restoring the anatomy and the functions of the vagina. Different treatment alternatives have been described. They are all effective, although some more so than others. There are reported complications with each. This article critically appraises the various operations in terms of success and complications.

Keywords Keywords / anatomy / pathology / post-hysterectomy vaginal vault prolapse / treatment