Abstract
Sixteen cases of vaginal prolapse following subtotal abdominal hysterectomy were studied. Prolapse of the cervical stump occurred within from less than one year of 16 years following the hysterectomy. No cases were observed following total abdominal or vaginal hysterectomy.The treatment in 14 cases consisted of: a vaginal plastic procedure in 8 cases; colpocleisis in 4 cases; and 2 cases were treated by wearing a pessary.A study of the anatomy and mechanics of uterine and vaginal support and also clinical observation demonstrate that removal of the cervix with the fundus of the uterus does not predispose to prolapse of the vagina.When uterine descensus is present at the time of hysterectomy, vaginal removal of the uterus and repair of the hernial defect will prevent subsequent prolapse of the vagina.
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