Vaginal vault suspension for prolapse after hysterectomy using an autologous fascial sling of rectus sheath

Objective To evaluate the results of a modified rectus sheath fascial sling used as a treatment for vaginal vault prolapse after hysterectomy. Design Retrospective analysis of case records. Setting District General Hospital in South Wales. Participants Ten women who had had a hysterectomy 2 to 20 years previously (mean 8 years). Results All the women were cured of symptoms related to vaginal vault prolapse. There were no intraoperative complications. No new urinary symptoms have developed. One woman developed an enterocele which was corrected by the abdominal insertion of a prolene mesh. Conclusion A modified rectus sheath fascial sling is a safe, simple effective abdominal operation for the surgical correction of vaginal vault prolapse after hysterectomy.