Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Vaginectomy with pelvic herniorrhaphy for prolapse.

Mitchel S Hoffman¹, Richard J Cardosi, Jorge Lockhart

¹Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa 33606, USA.

American Journal of Obstetrics and Gynecology

|October 2, 2003

Summary

Vaginectomy with pelvic herniorrhaphy offers a low morbidity option for severe vaginal prolapse. Hysterovaginectomy shows similar outcomes to vaginectomy alone in high-risk patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Radical resection and sentinel lymph node evaluation of mammary-like adenocarcinoma of the vulva (MLAV) with somatic BRCA1 mutation.

Gynecologic oncology reports·2025

Same author

Specimen extraction techniques utilized in minimally invasive surgery for uterine cancer and an enlarged uterus: a quality assurance study.

Journal of robotic surgery·2025

Same author

A Randomized Controlled Trial Comparing pre-anesthesia Evaluation via Telemedicine to In-Person at an NCI-Designated Comprehensive Cancer Center.

Telemedicine journal and e-health : the official journal of the American Telemedicine Association·2025

Same author

Robotic radical stump trachelectomy: Critical steps of a radical procedure without normal anatomical landmarks.

Gynecologic oncology reports·2024

Same author

Cross-sectional survey of surgical practices among gynecologic oncologists in the United States.

Gynecologic oncology·2023

Same author

Case Report: Durable complete pathologic response and organ preservation following ipilimumab and nivolumab for locally advanced primary vaginal mucosal melanoma.

Frontiers in oncology·2022

Area of Science:

Gynecologic surgery
Pelvic reconstructive surgery

Background:

Severe vaginal prolapse often requires surgical intervention.
Vaginectomy and pelvic herniorrhaphy are surgical options for managing advanced pelvic organ prolapse.

Purpose of the Study:

To report surgical outcomes of vaginectomy and hysterovaginectomy with pelvic herniorrhaphy.
To compare morbidity associated with vaginectomy versus hysterovaginectomy for vaginal prolapse.

Main Methods:

Observational study of patients with stage III/IV vaginal prolapse undergoing vaginectomy (n=41) or hysterovaginectomy (n=13).
Morbidity was compared with transvaginal repair cohorts using the Mann-Whitney U test.

Main Results:

No significant difference in morbidity (estimated blood loss) between vaginectomy and hysterovaginectomy groups.

Related Experiment Videos

No recurrent hernias observed between 6-56 months post-surgery.

Vaginectomy with or without hysterectomy demonstrated low morbidity in high-risk patients.

Conclusions:

Vaginectomy with or without hysterectomy and pelvic herniorrhaphy is a viable surgical option for severe genital prolapse.
Hysterovaginectomy does not significantly increase morbidity compared to vaginectomy alone.
This procedure should be considered for selected high-risk patients with advanced prolapse.