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Pelvic Organ Prolapse: Surgery for Vaginal Vault Prolapse

Cutaway view of vagina
Vaginal vault prolapse

Vaginal vault prolapse is when the vagina loses its support and drops toward the opening. Sometimes it drops beyond the opening. This can happen after the uterus has been removed. Surgery is done to fix the problem and ease your symptoms.

Cutaway view of vagina
Vaginal vault suspension

The surgical procedure

A vaginal vault suspension may be done. This type of surgery can be done through the vagina or the belly (abdomen). The vagina is attached to strong tissue in the pelvis or to the sacrum. This is a bone at the base of the spine that forms the back of the pelvis.

Possible risks and complications of surgery

  • Infection

  • Bleeding

  • Risks of anesthesia

  • Damage to nerves, muscles, or nearby pelvic structures

  • Blood clots

  • Prolapse occurring again

Your incisions

During surgery, the doctor reaches your pelvic organs through the vagina or the belly. A cut (incision) may be made in the vaginal wall. If surgery through the belly is done, the doctor makes a few small cuts to insert tiny laparoscopic tools. Or the doctor makes 1 larger cut. This larger cut can be up and down (vertical) or across (transverse).

Incision site
Incision made in vaginal wall

Incision site
Abdominal incisions

Online Medical Reviewer: Donna Freeborn PhD CNM FNP
Online Medical Reviewer: Heather Trevino
Online Medical Reviewer: Irina Burd MD PhD
Date Last Reviewed: 5/1/2020
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