Vaginal Vault Prolapse and Enterocele

Vaginal Vault Prolapse or Enterocele can sometimes occur after a woman experiences a hysterectomy. When the top of the vagina loses support, it may sag or drop down the vaginal canal. The small bowel inside the pelvis pushes down on the vagina, creating what is called an “Enterocele”. It is common for these patients to experience a vaginal bulge. Urinary Incontinence (involuntary loss of urine) may also occur with this and other types of prolapse.

Pessary

Some women with Vaginal Vault Prolapse benefit from a Pessary, a device worn in the vagina for support. If you suffer from Entrocele, it is important to avoid heavy lifting, maintain a healthy weight, and practice Kegel exercises. Medication such as Estrogen might also help alleviate some of the symptoms. Eating high fiber foods are also recommended to help prevent straining that is associated with constipation.

Estrogen Replacement Therapy

Estrogen Replacement Therapy (ERT) — For women suffering with Vaginal Prolpase, ERT may help to limit further weakness of the muscles and other connective tissues that support the uterus. However, there are some drawbacks to taking estrogen, such as an increased risk of blood clots, gallbladder disease and breast cancer. The decision to use ERT must be made with your doctor after carefully weighing all of the risks and benefits.

Enterocele Repair

Sometimes the vagina loses support and may sag or drop down the vaginal canal. Often women who have had a hysterectomy experience enterocele because the top of the vagina has lost support causing it to bulge down like an inside-out stocking. For this surgery, one of several procedures is used to re-suspend and support the inner vagina to strengthen ligaments.