Vaginal Vault Prolapse Following Hysterectomy

Abstract

Abstract: in the last century many different operations were described to correct post hysterectomy vaginal vault prolapse. We analyzed the results of post hysterectomy vaginal vault prolapse repair at our centre, to compare the results of the abdominal colposacropexy to a vaginal approach using the Mayo culdoplasty technique. We also present a literature review of other surgical techniques to correct prolapse of the vagina.Methods: the charts of 78 patients with posthysterectomy vaginal vault prolapse presenting for surgical correction between February 1993 to November 1998 were reviewed. Follow-up phone interview and/or clinical examinations were performed to evaluate patient satisfaction and long-term outcome.Results: the mean age at operation was 67 years. Abdominal hysterectomy had been performed on 69 percent of the patients. The mean time elapsed from hysterectomy to vault prolapse repair was 19.93 years. Abdominal colposacropexy was performed on 24 percent of the patients. The Mayo culdoplasty technique was used in 76 percent of patients. There were few perioperative and postoperative complications. Follow-up ranged from one to 58 months.Conclusion: vaginal vault prolapse repair by the abdominal colposacropexy and the Mayo culdoplasty are safe and effective procedures. Anatomical restoration and patient satisfaction were achieved in the majority of patients.