Dickgiesser U, Ohlenroth G, Opitz V, Dickgiesser A
Geburtshilfe Frauenheilkd. 1983 Oct;43(10):620-4. doi: 10.1055/s-2008-1036724.
Genuine prolapse of the vaginal stump following total hysterectomy, which must be differentiated from the relatively frequent vaginal descent after hysterectomy usually not requiring additional surgery, is generally a rare positional anomaly of the female genitalia and is by no means easy to correct. This phenomenon requires special surgery to restore or preserve the ability to have intercourse. The article discusses the surgical techniques described in international literature which are suitable for correcting a prolapse of the vaginal stump. Basing on 31 patients treated by the authors, the advantages offered by vaginopexy after Williams and Richardson in the treatment of vaginal inversion following hysterectomy are discussed. In spite of the relatively limited number of patients, the results followed up about three years after surgical correction justify recommending this still rarely employed procedure. Its advantages are: secure fixation of the prolapsed vault of the vagina with nearly optimal anatomic and functional restoration of the vagina, maintained or regained ability to have intercourse, considerable and nearly complete freedom from subjective complaints, and obviously also a low likelihood of relapse.
全子宫切除术后阴道残端真性脱垂，必须与子宫切除术后相对常见的阴道下移（通常无需额外手术）相鉴别，它一般是女性生殖器罕见的位置异常，绝非易于纠正。这种现象需要特殊手术来恢复或保留性交能力。本文讨论了国际文献中描述的适用于纠正阴道残端脱垂的手术技术。基于作者治疗的31例患者，探讨了Williams和Richardson阴道固定术在治疗子宫切除术后阴道倒转中的优势。尽管患者数量相对有限，但手术矫正后约三年的随访结果证明推荐这种仍很少使用的手术是合理的。其优点包括：脱垂的阴道穹窿固定牢固，阴道的解剖和功能近乎最佳恢复，性交能力得以维持或恢复，主观不适显著减轻且几乎完全消失，复发可能性显然也很低。
