Is incontinence a problem with vaginal vault prolapse?
The problem of failure to store urine may be simplified by considering the cause. There may be a problem with the bladder or a problem with the urethra which drains the bladder to the outside or to the support of the bladder and the urethra and junction between the bladder and urethra. Incontinence may be caused by a defect in the anatomic support that is associated with vaginal vault prolapse, but it also may be related to a problem in the inability of the urethra to close itself in a normal way. It can be due to neurologic dysfunction of the bladder itself. When a person has incontinence in conjunction with vaginal vault prolapse it is important to determine the cause of the incontinence or the treatment program may be ineffective. If the problem is due to excessive neurogenic activity of the bladder then medications are an appropriate therapy. If the incontinence is due to an anatomic defect with loss of support of the bladder neck, then the corrective procedure is to support the bl
