Vaginal vault prolapse is prolapse (i.e. lack of support) of the deepest 30% of the vagina. This area of support is the most crucial area for the overall support of the vagina. Vaginal vault prolapse is very similar to uterine prolapse however the uterus is no longer present as the patient has had a hysterectomy. Rarely does vaginal vault prolapse occur without other forms of prolapse such as a cystocele, urethrocele, enterocele or rectocele usually accompany it. Patients often suffer from a bulge in the vagina, pressure, vaginal pain, and lower back pain.
Laparoscopic sacrocolpopexy is the “gold standard” operation for support of the vaginal vault for almost 50 years. It is the most successful operation ever developed for vaginal vault prolapse and is considered the gold standard by the American Urogynecologic Society and the US FDA. Dr. Miklos & Dr. Moore have performed more than 1600 laparoscopic sacrocolpopexies, more than anyone in the world with minimal complications. Surgeons from throughout the world travel to Drs. Miklos and Moore’s Centers on a regular basis to learn this advanced procedure.
Risk of Mesh Extrusion and Other Mesh-Related Complications after Laparoscopic Sacral Colpopexy with or without Concurrent Laparoscopic-Assisted Vaginal Hysterectomy: Experience of 402 Patients
The average surgeon in the world who performs the laparoscopic sacrocolpopexy averages over 3-4 hours to complete the surgery. Drs. Miklos & Moore’s average time is less than 1 hour. Drs. Miklos & Moore have sent 98% of their patients either home or to a hotel the day after surgery. Over the 20 years of performing laparoscopic sacrocolpopexies Drs. Miklos & Moore have given 1 blood transfusion and have never needed a large incision to complete the surgery.