Vaginal Prolapse (cont.)
IN THIS ARTICLE
How to Prevent Vaginal Prolapse
Women at risk for vaginal prolapse (including those who have had corrective surgery) should, if possible, avoid heavy lifting or any activity that increases pressure within the abdominal cavity.
Obesity puts extra stress on the muscles and ligaments within the pelvis and vagina. Weight reduction can help prevent this condition from developing or recurring.
Vaginal Prolapse Prognosis (Outlook)
Vaginal prolapse is rarely a life-threatening condition. Some mild cases can be treated without surgery. More severe cases of vaginal prolapse will likely require surgery for correction.
Vaginal prolapse surgery is generally susccessful, but recurrence remains an issue.
Vaginal Prolapse Pictures
Sites where a rectocele may occur. Click to view larger image.
The vagina and supportive structures. The paracolpium extends along the outside wall of vagina. Click to view larger image.
Level I is suspension and level II is attachment. The paracolpium suspends the vagina from the lateral pelvic walls in level I. These fibers extend vertically and posteriorly toward the sacrum. The vagina in level II is attached to the arcus tendineus fascia of pelvis and superior fascia of levator ani Click to view larger image.
Level II and III detail. In level III, the vagina is fused to the medial surface of the levator ani muscles, urethra, and perineal body. The anterior surface of the vagina at its attachment to the arcus tendineus fascia pelvis forms the pubocervical fascia, while the posterior surface forms the rectovaginal fascia. Click to view larger image.
Enterocele and massive vaginal eversion. Posthysterectomy vaginal vault prolapse. Click to view larger image.
Relaxed vaginal outlet. This elderly woman had a large rectocele and pronounced perineal body relaxation. The anterior repair and incontinence procedure had already been performed.
Last Reviewed 11/17/2017
George Lazarou, MD, FACOG
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