What is Vaginal vault prolapse repair?
A vaginal vault prolapse is a condition that occurs in the vagina.
The correction process can be carried through the vagina and abdomen is the general choice of surgeons. The surgical process of Vaginal Vault Prolapse repair is known as Sacrocolpopexy.
The Surgeon makes use of a special mess to restore the vagina. The procedure can be carried out as laparoscopic or open surgery.
What is the Pre surgical procedures for Vaginal vault prolapse repair?
Self-care measures-
In case of mild or no symptoms, simple self-care measures can be carried out to prevent the worsening prolapse.
The most important self-care regime is performing Kegel exercises to strengthen your pelvic muscles, lose weight as well as working on your constipation.
Pessary –
This is a non-surgical treatment where a vaginal pessary, a plastic, or rubber ring is inserted into your vagina to support the bulging tissues. A pessary needs to be hygienically maintained by removing and cleaning regularly.
Conservative management Physiotherapy –
This procedure shows reduced symptoms of prolapse and recommended during the initial or first-line stage.
What is the Surgical procedures.for Vaginal vault prolapse repair:?
The doctor might recommend surgery to repair uterine prolapse after ascertaining your condition. Minimally invasive (laparoscopic) or vaginal surgery might be the suggested options.
You should consult your doctor and explore the different treatments as well as understand the risks and benefits of each. However, the doctor will take a call on the right type of treatment suitable.
The aim of Vaginal vault prolapse repair surgery is to improve the quality of life of the patient taking into consideration their specific conditions.
Prolapse repair surgery is carried after ascertaining the patent's lifestyle including age, pathology, other life-threatening medical conditions as well as sexual activity.
The surgery takes into consideration the patient's expectations and keeps the patient well informed on the surgery and associated risks.
In the case of a patient with strong pelvic floor muscles, the doctor may recommend the vaginal approach, where the vagina is anchored with an existing stable structure.
In case the pelvic floor is weak, due to repeat procedures or severe physical stress, the Vault extension technique might be recommended. This technique is carried either through a vaginal or abdominal approach with the use of a mesh.
The vaginal vault prolapse repair can be effected through a vaginal, abdominal, laparoscopic, or robotic laparoscopic approach.
Laparoscopic sacrocolpopexy-
It is an increasingly popular procedure because it is a minimal access surgery done through the abdomen. The abdomen is inflated with carbon dioxide gas such that there are enough place and visibility to conduct the surgery.
Four to five small incisions are made to guide the camera and other instruments with the entire procedure. Finally, a piece of surgical mesh is used to support the front and back walls of the vagina.
It helps in faster recovery as well as shorter hospital stays and quicker returns to daily activities.
Robotic laparoscopic sacrocolpopexy -
Itis a recent development that uses a robot-assisted laparoscopic approach. The surgery is supported by better visualization and precise movements during surgery.
The robotic Laparoscopic Sacrocolpopxy is a similar procedure as abdominal sacrocolpopexy. However, it is a less invasive technique with four small incisions.
