Vaginal vault prolapse is a high risk to those who have had hysterectomy.

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Vaginal vault prolapse has been defined by the International Continence Society as descent of the vaginal cuff below a point that is 2 cm less than the total vaginal length above the plane of the hymen. It occurs when the upper vagina bulges into or outside the vagina

 

Due to the removal of the uterus, there is reduced pelvic floor support and therefore the top portion of the vagina (Vault) descends (prolapses) into the lower part of the vagina.

There are pessaries available to help the internal support. Pelvic floor exercises are always recommended along with physiotherapy treatment.

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