Vaginal prolapse or vaginal vault prolapse is a medical condition with improper positioning of the vagina due to stretching of other pelvic structures. It is commonly seen in women with multiple vaginal deliveries and menopausal stages. Vaginal prolapse is generally characterized by sensation of fullness in the pelvic floor, frequent occurrence of urinary tract infection, difficulty with urinary retention and passing stools, low back pain, problems during sexual intercourse or while inserting menstrual cup/tampon and abnormal sensation of slippage from the vagina. Vaginal prolapse is routinely diagnosed by gynecology doctor during well women exam by performing pelvic exam. It can be further confirmed by MRI or pelvic ultrasound radiographically. Nonsurgical treatments for the management of vaginal vault prolapse are Kegel exercises and insertion of devices like vaginal pessary to provide the required support. There are also surgical options such as vaginal vault suspension, sacrocolpopexy through laparoscopic technique, and colpocleisis.
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