Vaginal vault prolapse is a rather commonly occurring type of vaginal "hernia". Although there are non-surgical effective treatments, surgery represents the primary therapeutic and curative option. Various individual characteristics are helpful in selecting the approach for the vaginal vault suspension. Bladder function evaluation should be performed prior to the surgical procedure in order to prevent post-op incontinence.
Both vaginal and abdominal reconstructive surgical procedures carry very high success rates (greater than 90%). The elderly, delicate woman also has simple and safe surgical options available for her. Choice of surgical approach should be based on the procedure best indicated for the individual patient.