What you can do
Your doctor will perform vaginal prolapse surgery using one of the following approaches:
What you can expect
Vaginal prolapse, also known as vaginal vault prolapse, occurs when the top of the vagina weakens and collapses into the vaginal canal. In more serious cases of vaginal prolapse, the top of the vagina may bulge outside the vaginal opening.
What happens in this type of surgery? The aim is to restore the vagina to its natural position. This involves attaching the top of the vagina to a ligament in the pelvis using synthetic stitches (sutures). Surgeons may use stitches that eventually dissolve or stitches that remain in the body permanently.
First-degree prolapse: The uterus droops into the lower portion of the vagina. Second-degree prolapse: The uterus falls to the level of the vaginal opening. Third-degree prolapse: The cervix, which is located at the bottom of the uterus, sags to the vaginal opening and protrudes outside the body.
Vaginal Vault Prolapse (After Hysterectomy) The top of the vagina drops down, creating a bulge. In severe cases, the top of the vagina may protrude outside of the vagina. It also may occur with small intestine prolapse (shown here), anterior vaginal wall prolapse, or posterior vaginal vault prolapse.
Symptoms of vaginal vault prolapse Weak urinary stream, straining to urinate and difficulty emptying the bladder. Increased urinary infections. Vaginal bleeding and discharge. A bulge of tissue that may protrude from the vagina, and the need to apply finger pressure to this bulge in order to urinate or empty the bowels.
Vaginal vault prolapse commonly occurs following a hysterectomy (removal of the uterus (womb)). Because the uterus provides support for the top of the vagina, this condition occurs in up to 40% of women after a hysterectomy. In a vaginal vault prolapse, the top of the vagina gradually falls toward the vaginal opening.
Abstract. Post-hysterectomy vaginal vault prolapse is a common disorder which generally manifests as a protrusion of the vagina through the genital hiatus, sometimes accompanied by urinary and gastrointestinal symptoms as well as sexual dysfunction.
Vaginal vault prolapse refers to significant descent of the vaginal apex following a hysterectomy (see the image below), whereas uterovaginal prolapse denotes apical prolapse of the cervix, uterus, and proximal vagina. Enterocele and massive vaginal eversion.
Types of prolapse include:Vaginal vault prolapse. This is a condition where the upper walls of the vagina lose their normal shape, resulting in a collapse into the vaginal canal or lower. ... Uterine prolapse. ... Bladder prolapse. ... Rectocele prolapse. ... Enterocele prolapse. ... Preventing or treating a prolapse.
A Laparoscopic Vault Suspension is a minimally-invasive surgical procedure that is used to treat cases of vaginal vault prolapse. The aim of the surgery is to repair and support the vaginal vault in a way that does not interfere with vaginal capacity or sexual intercourse.
Suspension of the vaginal apex to the uterosacral ligaments (McCall culdoplasty) or to the sacrospinous ligaments at the time of vaginal hysterectomy is the mainstay for prevention of post hysterectomy vaginal vault prolapse.
The two non-surgical options for prolapse are pelvic floor muscle training (PFMT) and a vaginal pessary. PFMT can be effective for mild prolapse but is usually not successful for moderate and advanced prolapse. The main alternative to surgery for prolapse is a vaginal pessary.
Your surgeon will:Make a surgical cut through the front wall of your vagina.Move your bladder back to its normal location.May fold your vagina, or cut away part of it.Put sutures (stitches) in the tissue between your vagina and bladder. ... Place a patch between your bladder and vagina.More items...
DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy with CC or MCC.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code N99.3. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 618.5 was previously used, N99.3 is the appropriate modern ICD10 code.
618.5 is a legacy non-billable code used to specify a medical diagnosis of prolapse of vaginal vault after hysterectomy. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.