Sacrospinous Coplpopexy as Therapeutic and Prophylactic Treatment of Vaginal Vault Prolapse after Hysterectomy

After removal of the uterus ' Hysterectomy' the vagina top part is called Vault or Apex . The Vaginal Vault or Apex can descend or prolapse to various degrees. Occasionally it prolapses completely so the vaginal inside is all out with the vaginal vault pointing several centimeters outside the vulva 'Vaginal Inversion'. Sacrospinous Colpopexy operation is designed to fix the vaginal vault or apex higher up to Sacrospinous ligament 'a very stong ligament' in the back / side of the pelvis.

• Authors: S. N. M. Youssif, Jamila Shahid
• Affiliation:Obstetrics and Gynaecology Department, Norfolk and Norwich Hospital, Norwich
• Published in: Journal of Obstetrics and Gynaecology , Volume 15, Issue 5 September 1995 , pages 311 - 315
• Subject: Obstetrics, Gynecology & Women's Health
• Abstract To evaluate the effectiveness of fixing the vaginal vault to the strong and immobile sacrospinous ligament when combined with traditional repairs of procidentia and vaginal vault prolapse, 20 patients with genital prolapse who needed vaginal hysterectomy and repair, or repair of vault prolapse, were studied.  Intra-operative and postoperative complications were minimal. Vaginal axis and depth were restored. Vaginal function was maintained. Discomfort was relieved. Dyspareunia did not occur. Incidence of recurrent prolapse or vaginal laxity was low when assessed after one year. All patients were satisfied.  Sacrospinous colpopexy should be added to traditional repairs to treat procidentia and with vault prolapse repairs to prevent recurrent vaginal vault prolapse.