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Kegel8 Glossary - Medical terms without the jargon
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Vaginal Vault Prolapse

Vaginal Vault Prolapse - What is it?

The vaginal vault is created following the surgical removal of the uterus and cervix - it is formed when the surgeon surgically closes the top of the vagina creating a 'vault'. This closure at the top of the vaginal canal means the vagina loses it capacity to stretch and elongate as it did previously. A vaginal vault is created in some hysterectomy procedures

Can a Kegel8 Help Prevent Vaginal Vault Prolapse?

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Doctors differ in their view of how much vaginal tissue should be removed and left. Some say a post- hysterectomy vagina should measure 5cm, other 9cm, some others think 3 - 4 cm is adequate.

When the vagina is sutured closed at the top it is then anchored to a severed ligament to hold it in place. If this fixing fails it will result in a vaginal vault prolapse, in effect where the vaginal vault drops down, sometimes outside of the vagina.

The uterus, vagina, bladder and rectum are connected to the pelvic walls by a network of connective tissue and the upper part of the vagina is suspended from the pelvic walls and sacrum. With the removal of the uterus the organs naturally  drop to fill the void that has been created. If the vaginal vault has not been skilfully reattached the sutures can fail with extra pressure from other pelvic organs.

Pelvic floor exercise is vital to ensure safe and effective rehabilitation, and ongoing strengthening of the pelvic floor - to support all the remaining pelvic organs. Clinical evidence shows that following a hysterectomy a woman has a 20% chance of vaginal vault protease. 

Surgical repair is difficult, and each surgery makes the vault smaller. Repeat surgery is often necessary following repeated vaginal vault prolapse.

It is vital that a woman does all she can to stop the the vaginal vault prolapse and pelvic floor exercises will help to strengthen the muscles and ligaments to help to prevent prolapse.

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