How can vaginal vault prolapse be repaired?
In general, vaginal vault prolapse can be repaired either through an abdominal incision or through the vagina. It is imperative that the entire vaginal prolapse be assessed and document the areas that are prolapsed and in need of repair. The site of prolapse can be specific. The area under the bladder and urethra can be independently prolapsed. The very top portion of the vagina can prolapse downward alone and sparing the support underneath the bladder and over the rectum. The side walls of the vagina can collapse inwardly and the wall between the vagina and rectum can independently prolapse and form a rectocele and all of these things can concur in conjunction with each other with total eversion of the vagina with a mass extending completely to the outside. In addition to these, the abdominal contents can slide down either in front or behind the vagina and be associated with the prolapsed mass. This is called an enterocele. There are two general approaches to repair these defects. It
