Shah Nidhi, Bhalerao Anuja
Department of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, IND.
Cureus. 2023 Jan 29;15(1):e34341. doi: 10.7759/cureus.34341. eCollection 2023 Jan.
Vaginal vault prolapse is a painful condition in which the vaginal cuff descends. This report presents a case of a 65-year-old obese and diabetic female who was suffering from a third-degree vault prolapse. Conventionally used non-surgical treatments, such as exercises for the pelvic floor, are not as effective as surgical approaches for the treatment of third-degree vault prolapse. Post-hysterectomy vaginal vault prolapse can be treated safely and effectively with abdominal sacral colpopexy using a permanent mesh. Due to several risk factors, such as grand parity, advancing age, and poor lifestyle mainly involving exercise to strengthen pelvic floor musculature, the vaginal route of surgery was employed, which was found to be effective, and thus the treatment was successful. In conclusion, such individualized as well as unique approaches to such rare cases can produce efficacious results.
阴道穹窿脱垂是一种阴道断端下降的疼痛性病症。本报告介绍了一例65岁肥胖且患有糖尿病的女性，她患有三度阴道穹窿脱垂。传统使用的非手术治疗方法，如盆底锻炼，对于三度阴道穹窿脱垂的治疗效果不如手术方法。子宫切除术后的阴道穹窿脱垂可通过使用永久性网片的腹骶阴道固定术进行安全有效的治疗。由于存在多个风险因素，如多产、年龄增长以及主要涉及加强盆底肌肉锻炼的不良生活方式，故采用了经阴道手术途径，结果发现该方法有效，治疗取得成功。总之，针对此类罕见病例采用的这种个体化且独特的方法可产生有效的结果。
