A Case of Vaginal Vault and Complete Genital Prolapse with Rectocele, Peritoneocele, Cystocele, and Sphincter Dysfunction

Abstract

We report herein surgical treatments for vaginal vault and complete genital prolapse with rectocele, peritoneocele, cystocele, and sphincter dysfunction.
A 51-year-old woman, who had a 13-year history of vaginal vault and complete genital prolapse with urinary incontinence and dysfunction, constipation, and soiling of stool, was referred to our department for surgery. One-fourth of the anal sphincter was interrupted anteriorly by digital examination, and defecogra-phy revealed an enterocele. Anterior levatorplasty with sphincteroplasty was performed in addition to a transvaginal hysterectomy, anterior colporraphy. Partial excision and closure of the cul de sac of the perito-neum with pexy of the vaginal wall was added during surgery. The postoperative course was essentially uneventful without further recurrence or appearance of symptoms during a six-month follow-up.