– Successful vaginal reconstructive surgery offers hope after multiple failed procedures
Vaginal wall prolapse, a condition commonly seen in postmenopausal women due to weakening of pelvic floor muscles, is often silently endured by many who consider it a normal part of ageing. However, timely and appropriate treatment can offer complete relief, says Dr. Bindu Priya, senior Consultant Urogynecologist at KIMS Cuddles, Secunderabad.
The hospital recently treated a complex case of recurrent vaginal vault prolapse in a 65-year-old woman, who had previously undergone multiple surgeries without lasting success. The patient had a history of hysterectomy performed for uterine fibroids. A few years later, she began experiencing a bulge in the vaginal area, significantly affecting her daily life.
In 2023, she underwent laparoscopic sling surgery, followed by an abdominal mesh repair (sacrocolpopexy) in 2024. Despite these interventions, the prolapse recurred within four months. Upon consulting the Urogynecology specialists at KIMS Cuddles, the case was thoroughly evaluated, and a conservative approach using a vaginal pessary was initially advised, which the patient followed for nearly a year.
As she later opted for a permanent solution, the medical team performed a vaginal reconstructive surgery utilising patients own tissue supports. The procedure included anterior vaginal wall repair, uterosacral ligament suspension to provide strong support, and high perineorrhaphy.
Following the surgery, the patient showed significant improvement and recovered well, with marked relief from symptoms.
Speaking on the occasion, Dr. Bindu Priya emphasized the importance of individualized treatment planning. “Each case of prolapse is unique. Factors such as severity of the condition, previous surgeries, and associated health issues must be carefully considered before deciding the line of treatment,” she said.
She further noted that conditions like pelvic organ prolapse and urinary incontinence, though common with advancing age, are not something women need to suffer in silence. “Early medical consultation can greatly improve quality of life. Social stigma and misconceptions often delay treatment, which should be avoided,” she added.
Dr. Bindu Priya and team Dr. Sai Snehitha also stressed that creating awareness and encouraging women to speak openly about their health concerns is a collective social responsibility.