RCOG | Post-hysterectomy vaginal vault prolapse

This is an updated guideline from RCOG on managing vaginal vault prolapse after hysterectomy. There isn't really anything new here, just confirmation of what we probably all do.

  • Pelvic floor muscle training is useful for mild prolapse. The evidence here is for one-to-one training.
  • Pessaries (both shelf and ring) are useful for all prolapse other than the very mild.
  • Surgery isn't reserved for any specific degree of prolapse.

Louise Hudman

I'm a freelance GP locum in Winchester & Southampton locum chambers, and Pallant Medical Chambers Clinical Guidelines Lead Partner.

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