• Many a times women after childbirth feel laxity of perineal parts leading to disturbed sexual life. As the surgeries of uterus removal are increasing, patients with vault or vaginal prolapse are also increasing. Vaginal vault prolapse is a condition in which upper portion of vagina looses its shape and portion of vagina sags down or drops down in vaginal canal or outside vagina. It is often associated with bowel, urethral or bladder prolapse. Sinking down of these tissues occur when there is loss of support (i.e damage to connective tissues) due to gravity or increase in abdominal pressure.

    Causes of uterine or vaginal vault prolapse are:

    • With increasing age muscle tone decreases
    • Injury due to child birth
    • Obesity
    • Chronic coughing 
    • Chronic constipation
      Symptoms of prolapse range from pelvic heaviness to intercourse discomfort to actual tissue bulging past vaginal opening. It can also be associated with recurrent bladder infection , urinary incontinence, urinary frequency and urgency, constipation and abnormal vaginal discharge.

Treatment  depends on conditions like age and general health of the patient. Non Surgical options for frail and medically sick patients include kiegels exercise, Vaginal pessary and Estrogen replacement therapy.

For fit patients surgical options are very good with good success rate. Vaginal sacrospinous fixation, Sacrocervicopexy and laproscopic Burch's Colposuspension are done for them.