Vaginal vault prolapse commonly occurs following a hysterectomy (removal of the uterus (womb)). Because the uterus provides support for the top of the vagina, this condition occurs in up to 40% of women after a hysterectomy..
In a vaginal vault prolapse, the top of the vagina gradually falls toward the vaginal opening. Eventually, the top of the vagina may protrude out of the body through the vaginal opening, effectively turning the vagina inside out. A vaginal vault prolapse is often accompanied by the weakness and prolapse of walls of the vagina.
Diagnosis is made on the basis of the symptoms and vaginal examination in clinic. Other tests may be needed to find or rule out problems with your bladder.
A vaginal vault prolapse is a defect that occur highs in the vagina, entailing a surgical approach through either the vagina or the abdomen. Generally, the abdomen is the entry of choice for a severe vaginal vault prolapse.
The surgical procedure for correction of vault prolapse is a sacrocolpopexy, in which the surgeon attaches the vagina to a strong ligament over the backbone using a special mesh. This procedure can be performed either as a keyhole operation (laparoscopic sacrocolpopexy) or as an open procedure.
Oxford is one of few centres in the UK that can offer the laparoscopic technique, as it requires a high level of laparoscopic skills and special equipment. We perform many laparoscopic sacrocolpopexy operations and have published our results in peer-reviewed journals.