Uterine & Vaginal Vault Prolapse & Treatment

About Uterine Prolapse

uterine prolapseUterine prolapse, also known as pelvic organ prolapse, is a condition when a woman's uterus sags or slips out of its normal position. The uterus is held in place by a group of muscles and ligaments. Several factors can contribute to the weakening of these muscles and ligaments, causing the uterus to sag. These factors include the loss of muscle tone as women age, injury due to childbirth (especially women who have had many babies or large babies), obesity, chronic coughing, chronic constipation and all place added tension on the pelvic muscles. While mild cases of uterine prolapse often have no symptoms, more severe cases can actually interfere with bowel, bladder, and sexual functions.

About Vaginal Vault Prolapse

vaginal prolapseVaginal vault prolapse is a condition in which the upper portion of the vagina loses its normal shape and sags or drops down into the vaginal canal or outside of the vagina. This can occur either in conjunction with uterine prolapse or even after a hysterectomy.  It is caused by weakness of the pelvic and vaginal tissues and muscles and can occur along with prolapse of the bladder (cystocele), urethra prolapse (urethrocele), rectal prolapse (rectocele), or small bowel prolapse (enterocele). 

Common symptoms of Uterine and/or Vaginal Vault Prolapse

  • Vaginal Bleeding
  • Heaviness or pressure in the pelvis
  • Recurrent bladder infections
  • Urinary Incontinence
  • Urinary frequency or urgency
  • Difficulty emptying the bladder
  • Constipation
  • Enlarged vaginal opening
  • Abnormal or excessive discharge from the vagina
  • Protrusion of tissue from the opening of the vagina

Uterine and Vaginal Vault Prolapse Treatment

If you suffer from symptoms of uterine or vaginal vault prolapse there are surgical and non-surgical treatment options to consider. Treatment depends on the severity of your condition, age, as well as your general health. Non-surgical options include exercise, vaginal pessary, and estrogen replacement therapy. Surgical treatment options include a hysterectomy and/or vaginal vault suspension (Sacrocolpopexy). Here at the CARES Center our urogynecology team of surgeons are on the leading edge of these surgical treatment options and offer both Robotic Hysterectomy and a Robotic Sacrocolpopexy. This technique, by use of the da Vinci® surgical system, allows surgeons to operate through smaller incisions which drastically decreases a patient's blood loss, post operative pain, and reduces hospital stay. This minimally invasive technique allows patients a faster recovery and faster return to their normal activities.

For more information on Robotic Sacrocolpopexy click here.

Robotic Sacrocolpopexy - Are you a candidate?

To learn more about Robotic Sacrocolpopexy and whether it is the right treatment option for you, contact us or call us at (919) 843-7805.