Dr Jasdev Singh
Vaginal Vault Prolapse Repair
After a hysterectomy, the upper end of the vagina can drop down. Surgery through the vagina or the tummy can lift and support it again.
Pelvic Organ Prolapse
Lifting and supporting the vagina after hysterectomy
The vaginal vault is the upper end of the vagina after the womb has been removed. If its supports weaken, it can drop, causing a bulge, pressure or problems with the bladder or bowel. Repair can be done through the vagina or through the tummy.
Vault prolapse can develop years after a hysterectomy, and it can be treated.
Dr Jasdev explains the different operations and which suits your health and activity level.
Symptoms understood first
Leaking, bulging or discomfort is assessed carefully, including how much it affects your daily life.
Simpler options considered too
Pelvic floor exercises, physiotherapy and other treatments without surgery are discussed alongside operations.
Recovery planned in advance
You will know what to expect after the procedure and when your review is due.
What vault repair may offer
- Relief from bulge and pressure symptoms
- A choice of vaginal or abdominal approach
- Support for bladder and bowel function
How your care is planned
Each stage is explained so you understand the cause of your symptoms, your options and what recovery involves. You can take time to decide.
Examine the prolapse and check the bladder and bowel
Choose sacrospinous fixation, sacrocolpopexy or another option
Support your recovery and review the result
Treatment options
Sacrospinous fixation, done through the vagina, attaches the vault to a strong ligament in the pelvis. Sacrocolpopexy, done by keyhole or open surgery, uses a mesh to attach the vault to the bone at the base of the spine. A pessary is an option without surgery. The choice depends on your age, health, activity level and whether you are sexually active.
Who may benefit
Women who have had a hysterectomy and now have a bothersome bulge, pressure, or bladder or bowel symptoms from vault prolapse.
What to expect
The hospital stay is usually one to three nights. Recovery takes around six weeks. Avoid heavy lifting and constipation, which can strain the repair. Pelvic floor exercises and good bowel habits help protect the repair over the long term.
How Dr Jasdev works with you
He brings gynaecological surgical experience and a calm, private approach to symptoms that many women find hard to talk about. Plans follow current evidence and your own priorities. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia.
What to bring to your appointment
These details help Dr Jasdev understand your symptoms and plan the right tests or treatment. If you cannot find everything, bring what you have.
- Details of your hysterectomy and any other pelvic surgery
- A list of bladder and bowel symptoms
- A list of your medicines
What women often ask
Bladder and pelvic floor problems are common, yet many women wait years before asking about them. These questions can help you start.
Which operation is right for me?
Is mesh used?
How long is recovery?
Could the prolapse come back?
Your questions about vault prolapse repair
What is vaginal vault prolapse?
It is when the upper end of the vagina drops after a hysterectomy because its supports have weakened.
Who needs repair?
Women with bothersome symptoms from vault prolapse, after options such as a pessary have been considered.
What tests are needed first?
A pelvic examination, and sometimes bladder tests or scans.
Is it painful or risky?
Discomfort is expected for several weeks. Risks include bleeding, infection, buttock pain after sacrospinous fixation, mesh complications after sacrocolpopexy, and the prolapse returning.
Why see Dr Jasdev for vault repair?
He explains each surgical option and its risks clearly, so the choice fits your health and lifestyle.
How do I book?
Call or WhatsApp the clinic, and bring details of your previous surgery.
This page is general information and does not replace a consultation. Whether a procedure suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Explore treatment for vault prolapse
Book a consultation to discuss your options.