Vaginal Vault Prolapse

Vaginal vault prolapse occurs when pelvic floor muscles and ligaments are stretched and/or weakened, causing the bladder to sag into the vagina. In severe cases, the bladder can appear at the vagina’s opening or protrude through it. Women who have had multiple pregnancies or deliver children vaginally are at a higher risk for prolapse.

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Symptoms

Symptoms of prolapse may include:

  • Pelvic heaviness
  • Backaches
  • A mass protruding into the vaginal canal or out of the vagina, making it difficult to walk or stand
  • Urinary incontinence (involuntary urine release or leaky bladder)
  • Vaginal bleeding
vaginal vault prolapse

Diagnosing Prolapse

Prolapse is diagnosed during a physical examination. Your urologist will review any symptoms you are experiencing and may run tests to determine the severity of the condition.

vaginal vault prolapse 2

Treatments

Kegel exercises are recommended for mild prolapse cases. These are designed to strengthen the pelvic floor muscles and involve tightening the pelvic muscles and holding the contraction for five to 10 seconds at a time.

TUCC offers prolapse patients an on-site physical therapy program and pessary placement (removable device placed in the vagina to support areas of prolapse).

Physical Therapy

TUCC’s on-site pelvic floor physical therapy program is led by Cynthia Molloy, P.T., of Integrated Physical Therapy Central. Cynthia is certified in numerous specialties including biofeedback board certification for pelvic muscle dysfunction, vestibular (dizziness/balance) rehabilitation and manual therapy. Her approach includes orthopedic manual physical therapy, individualized exercise programs, stress reduction techniques, education and healthy lifestyle instruction.

Robotic Surgery

TUCC surgeons lead the region in performing urologic robotic surgery, having performed more than 5,000 procedures since 2006.

Each year, TUCC surgeons perform the highest number of robotic ureteral reimplantations and vesicovaginal fistula repairs in the Rocky Mountain region. In more severe prolapse cases, a robotic sacrocolpopexy may be recommended to correct the anatomical position of the vagina or uterus. With this procedure, mesh is used to hold the vagina in the correct anatomical position. Robotic sacrocolpopexy offers patients significantly less pain, reduced blood loss, less risk of infection, shorter hospital times and faster recovery.

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