Factors affecting the onset and the degree of post-hysterectomy vaginal vault prolapse


Submitted: 30 August 2023
Accepted: 12 February 2024
Published: 29 February 2024
Abstract Views: 65
PDF: 48
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Authors

  • Eighty Mardiyan Kurniawati Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
  • Gatut Hardianto Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
  • Hari Paraton Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
  • Tri Hastono Setyo Hadi Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
  • Anis Widyasari Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Dr. Sardjito Hospital, Yogyakarta, Indonesia.
  • Nur Anisah Rahmawati Faculty of Public Health, Airlangga University, Surabaya, Indonesia.

Post-hysterectomy vaginal vault prolapse can affect life quality, and its onset varies. Previous studies have discussed the causes of post-hysterectomy vaginal vault prolapse but have not discussed the causes of the degree. This study aims to explore factors affecting the onset and degree of post-hysterectomy vaginal vault prolapse. A case-control study was conducted for seven years (2015-2022) at a tertiary referral hospital in East Java, Indonesia. Patient medical record data was accessed to find a diagnosis of post-hysterectomy vaginal vault prolapse. The onset was divided into two categories: ≤1 year and >1 year. The pelvic organ prolapse quantification system measured the degree. The data were analyzed with the Chi-square test. A total of 34 patients were identified. Age influences the onset of post-hysterectomy vaginal vault prolapse (p<0.05). Number of living children, history of abortion, ethnic group, contraceptive use, number of marriages, body mass index (BMI), vaginal labor history, sexual status, and operation history did not influence the onset of complaints/appearance of post-hysterectomy vaginal vault prolapse (p≥0.05). Age, number of living children, history of abortion, ethnic group, contraceptive use, number of marriages, BMI, vaginal labor history, sexual status, operation history, and the onset did not differ between grade I-II and grade III-IV patients (p≥0.05). It is necessary to pay attention to the age factor to prevent and detect the emergence of post-hysterectomy vaginal vault prolapse.


Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 2003;61:37-49. DOI: https://doi.org/10.1016/S0090-4295(02)02243-4

Uzoma A, Farag KA. Vaginal vault prolapse. Obstet Gynecol Int 2009;2009:275621. DOI: https://doi.org/10.1155/2009/275621

Izumoto M, Mori H, Kimura C, et al. Vaginal stump prolapse after bilateral nephroureteral hysterectomy: case study. Int J Surg Wound Care 2022;3:13-8. DOI: https://doi.org/10.36748/ijswc.3.1_13

van Oudheusden AMJ, van IJsselmuiden MN, Menge LF, et al. Laparoscopic sacrocolpopexy versus vaginal sacrospinous fixation for vaginal vault prolapse: a randomised controlled trial and prospective cohort (SALTO-2 trial). BJOG 2023;130:1542-51. DOI: https://doi.org/10.1111/1471-0528.17525

Braga A, Serati M, Salvatore S, et al. Update in native tissue vaginal vault prolapse repair. Int Urogynecol J 2020;31:2003-10. DOI: https://doi.org/10.1007/s00192-020-04368-4

van Oudheusden AMJ, Eissing J, Terink IM, et al. Laparoscopic sacrocolpopexy versus abdominal sacrocolpopexy for vaginal vault prolapse: long-term follow-up of a randomized controlled trial. Int Urogynecol J 2023;34:93-104. DOI: https://doi.org/10.1007/s00192-022-05350-y

Fritel X, de Tayrac R, de Keizer J, et al. Serious complications and recurrences after pelvic organ prolapse surgery for 2309 women in the VIGI-MESH registry. BJOG 2022;129:656-63. DOI: https://doi.org/10.1111/1471-0528.16892

Mothes AR, Radosa MP, Runnebaum IB. Systematic assessment of surgical complications in laparoscopically assisted vaginal hysterectomy for pelvic organ prolapse. Eur J Obstet Gynecol Reprod Biol 2015;194:228-32. DOI: https://doi.org/10.1016/j.ejogrb.2015.09.026

Forsgren C, Zetterström J, López A, Altman D. Risk factors for vaginal vault prolapse surgery in postmenopausal hysterectomized women. Menopause 2008;15:1115-9. DOI: https://doi.org/10.1097/gme.0b013e31817062a5

Robinson D, Thiagamoorthy G, Cardozo L. Post-hysterectomy vaginal vault prolapse. Maturitas 2018;107:39-43. DOI: https://doi.org/10.1016/j.maturitas.2017.07.011

Kokanali M, Cavkaytar S, Topçu H, et al. Analysis of risk factors for post-hysterectomy vaginal vault prolapse. Cukurova Med J 2015;40:63-71. DOI: https://doi.org/10.17826/cutf.80376

Lukanovic A, Drazic K. Risk factors for vaginal prolapse after hysterectomy. Int J Gynaecol Obstet 2010;110:27-30. DOI: https://doi.org/10.1016/j.ijgo.2010.01.025

Persu C, Chapple CR, Cauni V, et al. Pelvic organ prolapse quantification system (POP-Q) - a new era in prolapse staging. J Med Life 2011;4:75-81.

Shah N, Bhalerao A. Vaginal vault prolapse in an elderly woman. Cureus 2023;15:e34341. DOI: https://doi.org/10.7759/cureus.34341

Kinman CL, Lemieux CA, Agrawal A, et al. The relationship between age and pelvic organ prolapse bother. Int Urogynecol J 2017;28:751-5. DOI: https://doi.org/10.1007/s00192-016-3175-5

Ramar CN, Grimes WR. Perineal lacerations. Treasure Island, FL: StatPearls; 2023.

Iglesia CB, Smithling KR. Pelvic organ prolapse. Am Fam Physician 2017;96:179-85.

Weintraub AY, Glinter H, Marcus-Braun N. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. Int Braz J Urol 2020;46:5-14. DOI: https://doi.org/10.1590/s1677-5538.ibju.2018.0581

Kurniawati EM, Nusi NI, Mustokoweni S, et al. The thickness of type I collagen fiber on vaginal wall associated with the degree of anterior pelvic organ prolapse. Syst Rev Pharm 2020;11:611-5.

Sari RKNF, Kurniawati EM. Factors associated with the incidence of stress urinary incontinence in uterine prolapse cases at RSUD Dr. Soetomo Surabaya. PLACENTUM J Ilm Kesehat dan Apl 2022;10:251-7. DOI: https://doi.org/10.20961/placentum.v10i3.59079

Declas E, Giraudet G, De Graer C, et al. How we do an anterior sacrospinous ligament fixation for vaginal vault prolapse. Int Urogynecol J 2021;32:3305-8. DOI: https://doi.org/10.1007/s00192-021-04863-2

Zhang Y, Wang W, Lu Y, et al. Mid-term efficacy of surgical treatments for post-hysterectomy vaginal vault prolapse: a retrospective study. Gland Surg 2022;11:992-1002. DOI: https://doi.org/10.21037/gs-22-261

Linder BJ, Gershman B, Bews KA, et al. A national contemporary analysis of perioperative outcomes for vaginal vault prolapse: minimally invasive sacrocolpopexy versus nonmesh vaginal surgery. Female Pelvic Med Reconstr Surg 2019;25:342-6. DOI: https://doi.org/10.1097/SPV.0000000000000678

Sharma JB, Kumar M, Roy KK, et al. Role of preoperative and postoperative pelvic floor distress inventory-20 in evaluation of posthysterectomy vault prolapse. J Midlife Health 2021;12:122-7. DOI: https://doi.org/10.4103/jmh.JMH_102_20

Prodigalidad-Jabson LT, Malonzo ID. Recurrence of prolapse following vaginal hysterectomy with and without vaginal vault fixation: a retrospective review. Acta Med Philipp 2022;56:42-9.

Kurniawati, E. M., Hardianto, G., Paraton, H., Setyo Hadi, T. H., Widyasari, A., & Rahmawati, N. A. (2024). Factors affecting the onset and the degree of post-hysterectomy vaginal vault prolapse. Urogynaecologia, 36(1). https://doi.org/10.4081/uij.2024.317

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