Diagram vagina ligament suspension

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Jump to content. Vaginal vault prolapse occurs when the upper portion of the vagina loses its normal shape and sags or drops down into the vaginal canal or outside of the vagina. It may occur alone or along with prolapse of the bladder cystoceleurethra urethrocelerectum rectoceleor small bowel enterocele.

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The vaginal vault is the expanded region of the vaginal canal at the internal end of the vagina. The vaginal vault may prolapse after a hysterectomyas there is no uterus supporting the interior end of the vagina. Colposacropexy is often used for treating vaginal vault prolapse.

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Mickey M. Karram Christine Vaccaro. The true incidence and prevalence of vaginal vault prolapse are unknown.

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A ligament is a strong, fibrous connective tissue that usually connects bone to bone. The sacrospinous ligament borders the sacrotuberous ligament and shares fiber space with this ligament. The sacrospinous and sacrotuberous ligaments work together to limit the upward tilt of the sacrum, called nutation.

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. The International Continence Society defines post-hysterectomy vault prolapse PHVP as descent of the vaginal cuff scar below a point that is 2 cm less than the total vaginal length above the plane of the hymen. The risk of prolapse following hysterectomy is 5.

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Prolapse generally occurs as a result of damage to the support tissues of the uterus and vagina during childbirth. Symptoms related to prolapse include a bulge or sensation of fullness in the vagina, or an uncomfortable bulge that extends outside of the entrance to the vagina. It may cause a heavy or dragging sensation in the vagina or lower back and difficulties with passing urine or bowel motions.

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Pelvic organ prolapse POP is a common health problem. POP significantly affects the effects on quality of life and activities of daily living. Laparoscopic sacrocolpopexy LSC has been viewed as the gold standard treatment for women with POP who desire reconstructive surgery. However, LSC is associated with technical difficulties, resulting in a long learning curve and operative time.

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The bladder sits on top of the vagina, and is partly attached to it. Muscles pull against the ligaments to close or open the bladder. Therefore loose ligaments may weaken the muscle contraction to cause problems with closure incontinence or opening passing urine.

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The uterus is continuous with the cervix, which is continuous with the vagina, much in the way that your head is continuous with your neck, which is continuous with your shoulders. The vaginal canal is the area between the vulva, the opening into the vagina, and the vaginal tissue that surrounds and is continuous with the part of the cervix that protrudes into the top of the vagina from the uterus. In other words, the top of the vaginal tissue is continuous with the uterus at the cervical os, which is the opening to the cervix. A vaginal vault is not part of the normal female anatomy.

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