Vaginal vault prolapse is a type of pelvic organ prolapse that can
occur following surgical removal of the uterus (hysterectomy). When the top of
the vagina loses the support of the uterus, it often sags or drops into the
The amount of the drop in a vaginal vault prolapse can vary from a
slight sag into the vaginal canal to a complete drop, where the top of the
vagina bulges outside of the vaginal opening.
Most women with a vaginal vault prolapse will also have bulging of
the small bowel (enterocele) into the vagina. Other bladder and bowel problems,
such as urinary incontinence and constipation, are likely to occur with vaginal
Vaginal vault prolapse may be treated with a special device that
holds the vagina in place (vaginal pessary). Surgery sometimes is needed to
repair vaginal vault prolapse.
Sarah Marshall, MD - Family Medicine & Femi Olatunbosun, MB, FRCSC - Obstetrics and Gynecology