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Updated: May 31, 2026
03:30
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Management of recurrent vault prolapse
1Department of Obstetrics and Gynaecology, Pilgrim Hospital, Sibsey Road, Boston, PE21 9QS Lincolnshire, UK. vivien.toh@nhs.net
International Urogynecology Journal
|July 5, 2011
Summary
Recurrent vaginal vault prolapse management lacks clear evidence. Sacrospinous ligament fixation and sacrocolpopexy show promise for treating this condition in older women.
Area of Science:
- Urogynecology
- Pelvic floor disorders
Background:
- Recurrent vaginal vault prolapse is a significant issue in aging women.
- Optimal management strategies remain unclear due to limited evidence.
Purpose of the Study:
- To review and discuss available treatment modalities for recurrent vaginal vault prolapse.
- To analyze current evidence supporting various management options.
Main Methods:
- Comprehensive literature search using Medline, PubMed, and Cochrane databases.
- Analysis of current texts and references from relevant articles.
Main Results:
- Inconclusive evidence for conservative, mechanical, and some surgical options (iliococcygeal fixation, McCall culdoplasty, infracoccygeal sacropexy).
- Sacrospinous ligament fixation (SSLF), sacrocolpopexy, mesh implants, and colpocleisis demonstrate good outcomes in Level II studies.
- SSLF and sacrocolpopexy have associated risks; colpocleisis is for selected patients.
Conclusions:
- More well-designed studies are needed for recurrent vaginal vault prolapse.
- SSLF and sacrocolpopexy are viable surgical alternatives to colpocleisis.
- Randomized trials are essential to evaluate trocar-guided mesh kits.
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