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Related Experiment Videos

Posthysterectomy vault prolapse.

J W Barrington1, G Edwards

  • 1Torbay Hospital, Torquay, Devon, UK.

International Urogynecology Journal and Pelvic Floor Dysfunction
|September 27, 2000
PubMed
Summary
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Vault prolapse, a condition potentially increasing fivefold after vaginal hysterectomy, can now be diagnosed and classified with a new scoring system. Treatment options range from conservative measures to surgical interventions with over 90% success rates.

Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders

Background:

  • Vaginal hysterectomy is associated with an increased incidence of vault prolapse.
  • Accurate diagnosis and classification of vault prolapse have been challenging.

Purpose of the Study:

  • To introduce a precise scoring system for the diagnosis and classification of vault prolapse.
  • To review current management strategies for vault prolapse.

Main Methods:

  • Development and validation of a novel scoring system for vault prolapse.
  • Review of conservative and surgical treatment options.
  • Emphasis on pre-operative urodynamic evaluation.

Main Results:

  • A precise scoring system has been devised for vault prolapse diagnosis and classification.

Related Experiment Videos

  • Surgical options include vaginal sacrospinous fixation and abdominal procedures like sacrocolpopexy.
  • Surgical success rates exceed 90%.

    • Conclusions:

    • A new scoring system aids in managing vault prolapse.
    • Conservative management is an option for surgical contraindications or temporary relief.
    • Surgical intervention offers high success rates, and pre-operative urodynamics are crucial for addressing concurrent stress urinary incontinence.