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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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Resources & Events

Men’s Health Virtual Seminar 9/29/2020

The Canary in the Coal Mine – Understand How Erectile Dysfunction Can Save Your Life By Connecting You with Your Health Presented by Dr. Richard Heppe, TUCC Urologist When: September 29, 2020. 5:00pm Where: Zoom (registration is not necessary) Please click the link below to join the webinar:https://us02web.zoom.us/j/85039050980 Or iPhone one-tap :US: +12532158782,,85039050980# or +13462487799,,85039050980#Or

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Dr. Kara K. Choate Joins TUCC

–TUCC CONTINUES TO BUILD ON ITS MISSION, EXCELLENCE IN UROLOGY – Kara Choate, M.D., has joined the team at The Urology Center of Colorado (TUCC). The TUCC team now includes 19 urologists, one radiation oncologist and five advanced practice providers. Dr. Choate completed her Urology Residency and General Surgery Internship at the University of Maryland Medical

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Dr. Jones – Why Urology?

Every year Dr Jones, Urologist at TUCC, presents to the Cherry Creek High School Medical Careers class. He explains what a urologist is and how urology can be a rewording specialty for doctors.

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