Apical Prolapse

Vaginal Vault Prolapse or Uterine Prolapse

This type of prolapse occurs when the supportive tissue of the cervix and uterus stretches or detaches from is attachment to the ligaments and muscles of the pelvic floor that keep the uterus supported in the pelvis.The ligaments are called Uterosacral ligaments. If a woman has had a hysterectomy, the top part of the vagina (called vaginal vault) can become detached from the ligaments and muscles of the pelvic floor. Often, uterine or vault prolapse is associated with loss of anterior or posterior vaginal wall support. When the cervix protrudes outside the vagina, it can develop ulcers from rubbing on underwear, sometimes these ulcers will bleed if they become irritated. Most women experience symptoms of bulge or pressure sensation in the pelvis.


  • Urinary frequency, urgency, nocturia
  • Abnormal emptying of the bladder
  • Pelvic pain
  • Vaginal pressure / discomfort
  • Protrusion coming from vagina
  • Difficulty evacuating rectum
  • Dyspareunia (painful intercourse)
  • Repositioning of body during bowel movements


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Non-Surgical Management

Surgical Management

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