Laparosopic sacrocolpopexy in the management of vaginal vault prolapse (original) (raw)

There are many procedures described for the treatment of vaginal vault prolapse. This paper describes the use of minimal access surgical techniques, in the form of laparoscopic sacrocolpopexy, for the treatment of this condition. The outcomes for the first 29 women to have undergone this procedure are described. Of the operations, 26 were completed without any intra-operative problems. On two occasions the bladder was perforated during the procedure, and in one case the inferior epigastric artery was injured. One patient had a urinary tract infection postoperatively. The remaining patients had uneventful postoperative courses. Most patients were discharged home on the 2nd postoperative day. All patients were reviewed at 2 weeks and at 6 weeks, and 28 have been reviewed at 3 months and at 6 months, and 14 for greater than 6 months, following surgery. All patients have been able to return to their normal lifestyle very rapidly and there were no reports of dyspareunia. There were eight cases of rectocoele at the 6-month review, and one patient had a recurrence of vault prolapse. Four patients have required a further surgical procedure, namely posterior repair. All except one patient had good support of the vaginal vault.