Surgical management of vaginal vault prolapse

This is an outpatient surgery.

Technique. Use a narrow tunneling device to pass a synthetic nonabsorbable tape through each pararectal space via a small perineal incision, and make a small vaginal incision to secure the tape to the vault.

The evidence. In the initial case series of 93 patients,¹⁵ 1 rectal perforation and 1 rectal tape erosion were noted. The cure rate was 91% in short-term follow-up in a small number of patients.

The authors report no financial relationships relevant to this article.