Identification of weakness of vaginal vault support is crucial for the surgical correction of vaginal prolapse. In the presence of a large cystocele or enterocele, accurate identification of a prolapsed vaginal apex can be challenging, even to an experienced examiner. However, it is not uncommon to see a patient referred with recurrent vaginal prolapse after an anterior and posterior repair who likely had preexisting vaginal vault prolapse before the initial reparative procedure. Recent estimates have calculated that approximately 14% of women in their peri- and post-menopausal years may have uterine prolapse. Of those who have been hysterectomized, approximately 38% will have some form of prolapse. It is estimated that 10% of this age group of women will have vaginal vault prolapse.
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