Vaginal vault prolapse usually refers to an apical vaginal relaxation in an individual who no longer has a uterus (post hysterectomy). As the apex of the vagina continues to descend it pulls the rest of the vagina down resulting in apical tears of the anterior and posterior fascia from its lateral points of attachment. Continued descent of the vaginal apex may result in complete eversion of the vagina. Complete eversion of the vagina means that the once highest point in the vagina is now the lowest point hanging out of the vagina.
Prolapse Relaxation Figure: 1
Normal support -
vagina apex
Prolapse Relaxation Figure: 2
Vaginal vault prolapse -
Loss of support of the uterosacral ligaments
