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Prolapse | Vaginal Vault

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Vaginal vault prolapse - what causes it?I think I am experiencing vaginal vault prolapse. What causes this and what are my treatment options?


When the top portion of the vagina falls downward towards the opening of the vagina, a vaginal vault prolapse occurs. This type of prolapse most often occurs in women who have had a hysterectomy. Diagnosis and treatment can depend on the severity of the condition.

Weakened vaginal and pelvic muscles and tissues can be a leading cause of vaginal vault prolapse. Though this type of prolapse occurs most often in women who have had a hysterectomy, a lack of estrogen during menopause can also cause women with a uterus to experience vaginal vault prolapse. This type of prolapse can also occur along with a uterine prolapse and other types of prolapses.

Symptoms of vaginal vault prolapse can include pelvic pressure or heaviness, backache, vaginal bleeding, painful intercourse, and bladder issues. Additionally, there can be a mass or bulge in the vagina. Based on your symptoms, your doctor may be able to diagnose a vaginal vault prolapse through a pelvic exam. Other testing may be needed to determine if other prolapses are occurring concurrently.

The severity of the prolapse and symptoms will determine the treatment plan. Non-surgical options may include a pessary. There are some life style adjustments that can be made as well. These can include pelvic floor exercises, increasing fiber and fluid intake, losing weight, avoiding straining, treating a chronic cough, and using hormones.miklos and moore

Surgical choices will depend on your doctor, your medical facility, and your specific situation. Procedures may be done to attach the vagina to pelvic ligaments or lower part of the spine. A type of mesh or artificial tissue may be used to make the repairs, or grafts of your own tissue may be utilized.

It is very important to share all of your symptoms with your doctor as other prolapses often occur along with a vaginal vault prolapse. This can allow all prolapse concerns to be treated together. Additionally, it is very important to seek more than one opinion before undergoing treatment for vaginal vault prolapse. Because doctors disagree as to which surgery options offer the best outcome with the least risks, seeking multiple opinions can help you determine what is best for you. Before making any final decisions, you may want to speak to both gynecological surgeons who specialize in minimally invasive surgery and urogynecologists.



This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

06-10-2013 - 09:53 PM


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John Miklos, M.D.
3400 Old Milton Parkway
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Alpharetta GA 30005
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Gerald Harkins, M.D.
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Hershey PA 17033
717-531-6447

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