How should vaginal vault prolapse be evaluated?
There are five major goals to be achieved in the evaluation of a woman with pelvic support defect. 1. Critical to any evaluation is an accurate history of the patient’s complaints. 2. Documentation of the patient’s specific pelvic support defect. 3. There should be a correlation of the complaints and the physical findings. 4. There should be development of a management plan. 5. There should be a long-term follow-up to evaluate the success or failure of the treatment plan that has been designed. There must be strict attention applied to each area of pelvic defect and repair of each defect.