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When a part of the body slips out of it’s original place, it is known as prolapse.
Due to weakening of the muscles that support the birth canal, there is a tendency for its walls to become lax and protrude into the canal. Because of this, the vagina comes out of the body and hangs like a tail. Often, the protrusion also involves part of the bowel (enterocele), bladder (cystocele) or rectum (rectocele).
how do you fix a prolapsed vagina
Structures called Uterosacral ligaments support the uterus and holds the uterus and vagina in place. When the muscles of the uterus weaken, these supporting structures detach, leading to prolapse. In such cases, a procedure called laparoscopic Vault Suspension is performed, which pulls up the vaginal tissues and fixes it in place.
Most of the time, patients come in with a prolapse are elderly women who have already crossed their child bearing age. If the women undergoing this procedure no longer wishes to bear children, the womb is also removed (hysterectomy).
How is Laparoscopic vault suspension Performed
Two to three tiny incisions are made over the abdomen and special laparoscopic instruments are inserted.
The upper part of the vagina is pulled and attached to structures on the hip, which gives strong support to the vaginal muscle, and puts it back into place. The detached uterosacral ligaments are attached to the vaginal apex using sutures.
In severe cases of Vault Prolapse, along with the vaginal tissues, parts of the intestines, urinary bladder or rectum also protrude outside. In such cases, repair is done by pushing the involved organ back into the belly and suturing it in its original position.
Care After Laparoscopic vault suspension
For at least 4 weeks from surgery, patients will be advised to avoid heavy weight lifting, straining while passing stools, standing for long period of time, etc.
Vaginal prolapse is not life threatening. But if left untreated, it results in situations like uncontrolled urine leakage, pain during sexual intercourse, etc. Moreover, with time, the prolapse may also pull the uterus down. Once the uterus is involved, repair becomes difficult and one might need uterus removal surgery. Hence early treatment is always recommended.
Laparoscopic vault suspension FAQ
Vault Suspension Specialists
Dr. Deepa Ganesh
Advance Laparoscopic Gynecologist, Robotic Surgeon & Cosmetic Gynecologist Surgeon
Obstetrician and gynaecologist, Infertility specialist and Laparoscopic surgeon