What is the prolapse of the vaginal safe?

In the vaginal prolapse of the vault, the upper part of the vagina is no longer supported and begins to sag to the bottom. This problem occurs most often in patients with hysterectomy. Normally the uterus sits in the upper part of the vagina and helps to maintain it in the position; After removing the uterus, this support is removed and the vagina can collapse inside. It may fall to the bottom of the channel or even protrude through the vaginal opening.

Although hysterectomy is the most common cause, other problems can also contribute to the prolapse of the vaginal vault. Weakening or damage to ligaments and muscles supporting vagina and other surrounding structures such as the uterus, bladder and rectum may also allow vagina to decline; It is often the fault of birth. Activities that emphasize this area of ​​the body can also make the problem worsen. Vaginal vault prolapse often occurs along with the prolapse of other nearby organs.

Women with vaginal safes of prolapse may have a number of symptoms. They can experience the feeling of bole in the pelvic areaStivality, discomfort or difficulty, hurts in the lower back and pain during sexual intercourse. The bulge of the upper part of the vagina to the bottom can make it difficult to move, such as position or walking. Sometimes vaginal bleeding may occur and opening can penetrate wide. Pressure on or prolapse of a nearby bladder can lead to incontinence and some women also have recurrent urinary tract infections.

In order to diagnose the prolapse of the vaginal vault, the doctor usually begins to revise the medical history of the woman. This will usually be followed by a physical test of the vagina. In some cases, MRI or ultrasound can be used to better look at the vagina and the surrounding tissue, especially if the prolapse of the surrounding structures is also involved.

Surgery is typical is necessary to repair the vaginal prolapse of the vault. This type of surgery is sometimes called Colpopexy, vaginopexia or vaginofixation. There are two main types; The first, vaginal satospinous colpopexes, involves entering the body with vagina and attaching to the sacrificial ligament. The second type, abdominal sacral colpopexia, is when the surgeon passes through the cut in the abdomen and sews the ointment to the place to hold the vagina in the correct position.