The vaginal vault is the expanded region of the vaginal canal at the internal end of the vagina.[1]
Prolapse
The vaginal vault may prolapse after a hysterectomy, as there is no uterus supporting the interior end of the vagina.
Colposacropexy is often used for treating vaginal vault prolapse. A Cochrane Collaboration review[needs update] found that limited data are available on optimal surgical approaches, including the use of transvaginal surgical mesh devices, in the form of a patch or sling, similar to its implementation for abdominal hernia. However, the use of a transvaginal mesh in treating vaginal prolapses is associated with side effects including pain, infection, and organ perforation. According to the FDA, serious complications are "not rare." A number of class actionlawsuits have been filed and settled against several manufacturers of TVM devices.
^Drake, Richard; Vogl, A. Wayne; Mitchell, Adam; Gray, Henry (2010). "Pelvis and Perineum". Gray's Anatomy for Students. Vol. Second Edition. Philadelphia: Churchill Livingstone Elseiver. p. 458. ISBN978-0-443-06952-9. The internal end of the canal is enlarged to form a region called the vaginal vault.
