When a woman undergoes a hysterectomy, which is the surgical removal of the uterus, she may experience a prolapse of the vaginal vault. This condition occurs when the top of the vagina, or the vaginal vault, falls down or protrudes outside of the body. It can be uncomfortable and even painful for some women, but there are treatment options available.
Prolapse of the vaginal vault after hysterectomy can occur for several reasons. One common cause is the weakening of the pelvic floor muscles that support the vagina. These muscles can become damaged or stretched during childbirth or as a result of age. Additionally, the removal of the uterus during a hysterectomy can cause a shift in the pelvic organs, which can contribute to prolapse.
The symptoms of vaginal vault prolapse can vary depending on the severity of the condition. Some women may experience a feeling of pressure or fullness in the vagina, while others may feel as though something is falling out of the vagina. Pain during sex or difficulty urinating can also be symptoms of prolapse, as can a bulge or lump in the vagina.
There are several treatment options available for women who experience prolapse of the vaginal vault after hysterectomy. One option is pelvic floor physical therapy, which can help strengthen the muscles that support the vagina. This can be combined with the use of a pessary, which is a device inserted into the vagina to help support the vaginal walls. In more severe cases, surgery may be necessary to repair the prolapse.
Prolapse of the vaginal vault after hysterectomy can be a challenging condition for women to deal with. However, there are several treatment options available to help manage the symptoms and improve quality of life. If you are experiencing any symptoms of vaginal vault prolapse, it is important to speak with your healthcare provider to determine the best course of action for your individual needs.