HysterSisters Articles for Hysterectomy
Prolapse | Vaginal Vault
From the Pelvic Floor Articles List
SHARING IS CARING
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.
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 - 10:53 PM
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Find a Surgeon
|Susan D. Hunter, M.D.
626 Ed Carey Dr
Harlingen TX 78550
|Siobhan Kehoe, M.D.
Gynecological Oncology Clinic - SW Med
2201 Inwood Road Suite 106
Dallas TX 75390
|Jack Ayoub, M.D.
44035 Riverside Parkway
Leesburg VA 20176
|Lauren Streicher, M.D.
Gynecologic Specialists of Northwestern, S.C
680 N. Lake Shore Dr., Suite 117
Chicago IL 60611
|Tiffany Jackson, M.D.
601 Clara Barton, Suite 160
Garland TX 75042
|Marshall Bovelsky, M.D.
200 Banning St
Dover DE 19904
|Quanita Crable, M.D.
8160 Walnut Hill Lane
Dallas TX 75231
|Arnold Advincula, M.D.
Columbia Ob/Gyn Midtown
51 West 51st St, 3rd FL
New York NY 10019
|Brad Cohen, M.D.
2477 Route 516
Old Bridge NJ 08857