[Treatment of post hysterectomy vaginal vault prolapse: was a solution found?]

Vaginal vault prolapse is a well known entity occurring mostly after hysterectomy. It has recently attained a higher focus in medical practice and literature due to the changes in lifestyle and life expectation amongst Western women. Segev et al in their present review describe the various surgical and conservative approaches toward dealing with the problem. Whilst one can appreciate the vast spectrum of treatments available, there is concurrent understanding that there is no optimal option that suits all patients. This phenomenon is due, in part, to the differences amongst patients but may also point to a lack of definite anatomic and pathophysiologic understanding as to the cause of the prolapse. Therefore, future advances in this field depend not solely on refined surgical technique but also on basic research towards the causes of this condition. With improved understanding, one may expect new surgical and medical modalities that will allow better results and improved quality of life for women suffering from this disabling condition.