Vaginal vault

Vaginal vault

The vaginal vault is the expanded region of the vaginal canal at the internal end of the vagina.[1]

Prolapse

The vaginal vault may prolapse after a hysterectomy, as there is no uterus supporting the interior end of the vagina. The incidence of vaginal vault prolapse is approximately 15% after hysterectomy due to uterine prolapse, and approximately 1% after hysterectomy due to other reasons.[2]

Colposacropexy is often used for treating vaginal vault prolapse, by attaching the top of the vagina to the sacrum.[2] However, a Cochrane Collaboration review[needs update] found that limited data are available on optimal surgical approaches, including the use of transvaginal surgical mesh devices, in the form of a patch or sling, similar to its implementation for abdominal hernia. However, the use of a transvaginal mesh in treating vaginal prolapses is associated with side effects including pain, infection, and organ perforation. According to the FDA, serious complications are "not rare." A number of class action lawsuits have been filed and settled against several manufacturers of TVM devices.

See also

References

  1. ↑ Drake, Richard; Vogl, A. Wayne; Mitchell, Adam; Gray, Henry (2010). "Pelvis and Perineum". Gray's Anatomy for Students. Second Edition. Philadelphia: Churchill Livingstone Elseiver. p. 458. ISBN 978-0-443-06952-9. The internal end of the canal is enlarged to form a region called the vaginal vault.
  2. 1 2 J Ivovic, D Kljakic, S Raicevic. Abdominal Colposacropexy With Permanent Polypropylen Mesh. The Internet Journal of Gynecology and Obstetrics. 2012 Volume 16 Number 3.


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