culdoplasty
Pronunciation: KUL-doh-plas-tee
Surgical repair or reconstruction of the posterior vaginal fornix and adjacent pelvic support structures to treat prolapse or provide additional support.
Full Definition
Culdoplasty refers to various surgical techniques designed to repair or reinforce the posterior vaginal fornix and surrounding support structures. The most common type is the McCall culdoplasty, which involves placing sutures through the uterosacral ligaments and posterior cervix or vaginal cuff to provide support and obliterate potential dead space. This technique is often performed as an adjunct to hysterectomy to prevent future vaginal vault prolapse. Other variations include the Moscchowitz procedure and other methods of peritoneal closure that aim to strengthen the pelvic floor support mechanism.
Usage
Usage note: Specify the type of culdoplasty when multiple techniques exist (e.g., McCall, Moscchowitz).
In Context
- "McCall culdoplasty was performed to provide additional vaginal vault support." — operative report
- "The surgeon elected to perform a culdoplasty as prophylaxis against future prolapse." — surgical planning note