Vaginal vault prolapse: a hospital based study from northern india

Objective: The purpose of this study is to evaluate the efficacy, safety, cost effectiveness of available surgical methods to correct the protrusion of vaginal stump following hysterectomy and to suggest a suitable technique offering the best benefit to the patient of this region.
Materials and Methods: 30 patients were admitted in this hospital with the symptoms and clinical sign of prolapse of vaginal vault. They were evaluated and subsequently surgical correction was offered. The patients were followed up with questionnaires of quality of life index regarding their urinary, anorectal and coital problem and the recurrence of the problem.
Setting: Pandit Jawaharlal Nehru Government Medical College, Chamba, Himachal Pradesh, admitted for prolapse of vaginal vault in the department of Obstetrics and Gynaecology.
Results: 4 different types of corrective surgery were performed on 30 patients admitted for this study. The posterior suspension with sacrum was the technique with less rate of recurrence and minimal dysparaeunia. The anterior suspension was easier to perform and vaginal sacrospinous suspension offers better compliance in terms of cost effectiveness and early return to the daily activity, disadvantage being it took longer time to resume coital function.
Conclusion: Vaginal sacrospinous suspension helps the patient to resume her daily work earlier although it is easier to perform anterior suspension using prolene mesh.