Vaginal suspension

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Willy G. Two experts tell how to identify the condition, select the best repair for the patient, and restore anatomic integrity. Use a vaginal or obliterative procedure under regional anesthesia in the medically delicate or elderly.

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Hear Dr. Karram discuss ways to avoid potential hazards when performing high uterosacral suspension of the prolapsed vaginal apex. Mickey Karram, MD Dr.

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The pelvic organs include the vaginauterusbladderurethraand rectum. These organs are held in place by muscles of the pelvic floor. Layers of connective tissue also give support.

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Prolapse or falling of any pelvic floor organ vagina, uterus, bladder or rectum occurs when the connective tissues or muscles within the body cavity are weak and unable to hold the pelvic organs in their natural orientation. The weakening of connective tissues can accelerate with age, after child birth, with weight gain or strenuous physical labor. Sacrocolpopexy is a procedure to surgically correct vaginal vault prolapse where mesh is used to hold the vagina in the correct anatomical position.

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. The International Continence Society defines post-hysterectomy vault prolapse PHVP as descent of the vaginal cuff scar below a point that is 2 cm less than the total vaginal length above the plane of the hymen. The risk of prolapse following hysterectomy is 5.

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Besides the general pelvic prolapse, the condition can be more localized, involving one organ or one location, such as:. A remedy for any kind of pelvic prolapse is a surgical procedure performed in gynecology NYC office called vaginal vault suspension. A vaginal vault suspension restores your vaginal cavity by reinforcing supportive structures within your vagina, pushing your organs back into place.

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Hear Dr. Karram discuss ways to avoid potential hazards when performing high uterosacral suspension of the prolapsed vaginal apex. Mickey Karram, MD Dr.

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Gynecological Surgery. A novel new approach to correct vaginal vault prolapse using a Prolene mesh sling suspended between both sacrospinous ligaments is described. The technique utilises reusable equipment and the mesh repair is easily extended to repair posterior vaginal wall defects concurrently. Sacrospinous colpopexy has, since its description in [ 1 ], become a commonly used procedure for the treatment of vaginal vault prolapse after hysterectomy.

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OBJECTIVE: The purpose of this study was to review retrospectively the functional and anatomic outcomes of women who underwent vaginal repair of enterocele and vault prolapse with the use of an intraperitoneal suspension of the vaginal vault to the uterosacral ligaments in conjunction with fascial reconstruction of the anterior and posterior vaginal wall. Anatomic results were assessed by standardized examination from 6 months to 3 years after the operation. Functional results were assessed subjectively and with standard quality of life questionnaires. The average age of the women was


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