vaginal vault prolapse
Descent of the vaginal apex following hysterectomy due to loss of apical support.
Full Definition
A condition characterized by the downward displacement of the top of the vagina (vaginal vault or cuff) that occurs after hysterectomy when the supporting structures fail to maintain the normal vaginal anatomy. This type of prolapse results from weakness or failure of the cardinal-uterosacral ligament complex that normally provides apical support. Patients typically present with a sensation of pelvic pressure, a vaginal bulge, difficulty with bowel or bladder function, and sometimes complete vaginal eversion. The condition is classified using the POP-Q staging system and may be associated with anterior or posterior wall defects.
Usage
Usage note: Occurs post-hysterectomy; distinguish from other types of prolapse in documentation.
In Context
- "Examination revealed grade III vaginal vault prolapse with the apex visible at the introitus." — Clinical examination note
- "The patient developed vaginal vault prolapse five years following total abdominal hysterectomy." — Patient history