Symptomatology in cases of vaginal cuff prolapse

Abstract

Aim: To define the admission symptoms and complaints of cases with vaginal cuff prolapse Materials and Methods: A retrospective study between January 2019 – 2021 including 34 patients admitted to University of Health Science Turkey with the diagnosis of vaginal cuff prolapse. While patients who had grade < 3 vaginal cuff prolapse were accepted as early stage prolapse, patients with grade ≥ 3 vaginal cuff prolapse were accepted as advanced stage prolapse. Patients’ initial clinical symptoms and complaints at the time of admission were recorded. Results: The most common symptom in patients with vaginal cuff prolapse was pressure sensation in the vagina. Fecal incontinence was the least reported symptom. The prolapse symptom were higher in the advanced staged cuff prolapse group than in the early stage group (p<0,001). Difficulty in coitus and difficulty in urinating were more common in the advanced stage group than in the early stage group. Conclusion: Difficulty in coitus and difficulty in urinating symptom were found to be more common in the advanced stage cuff prolapse group than in the early stage group. Cuff prolapse is sometimes accompanied by urinary and gastrointestinal symptoms as well as sexual dysfunction and complaints of pain. Therefore, all the patients should be evaluated as a whole.

Keywords

• cuff prolapse
• symptomatology
• hysterectomy

References

1. 1. Segev Y, Auslander R, Lavie O, Lissak A, Abramov Y. Post hysterectomy vaginal vault prolapse: diagnosis prevention and treatment. Harefuah. 2008;147(5):406-12, 78.
2. 2. Cruikshank SH, Kovac SR. Randomized comparison of three surgical methods used at the time of vaginal hysterectomy to prevent posterior enterocele. American journal of obstetrics and gynecology. 1999;180(4):859-65.
3. 3. Aigmueller T, Dungl A, Hinterholzer S, Geiss I, Riss P. An estimation of the frequency of surgery for posthysterectomy vault prolapse. International urogynecology journal. 2010;21(3):299-302.
4. 4. Kinman CL, Lemieux CA, Agrawal A, Gaskins JT, Meriwether KV, Francis SL. The relationship between age and pelvic organ prolapse bother. International urogynecology journal. 2017;28(5):751-5.
5. 5. Handa VL, Nygaard I, Kenton K, Cundiff GW, Ghetti C, Ye W, et al. Pelvic organ support among primiparous women in the first year after childbirth. International urogynecology journal. 2009;20(12):1407-11.
6. 6. Swift S, Pound T, Dias J. Case–control study of etiologic factors in the development of severe pelvic organ prolapse. International Urogynecology Journal. 2001;12(3):187-92.
7. 7. No G-tG. Post-Hysterectomy Vaginal Vault Prolapse. Available from URL: mrcog woman hospi tal cn.
8. 8. Baykuş Y, Deniz R, Kavak EÇ. Pelvik Organ Prolapsuslu Olgularda Semptomatoloji. Kafkas Journal of Medical Sciences. 2017;7(2):107-10.

9. 9. Gabriel I, Kalousdian A, Brito L, Abdalian T, AF VS, Minassian V. Pelvic Organ Prolapse after Three Modes of Hysterectomy: Long-Term Follow Up. American Journal of Obstetrics and Gynecology. 2020.
10. 10. Uzoma A, Farag K. Vaginal vault prolapse. Obstetrics and gynecology international. 2009;2009.
11. 11. Arbel R, Lavy Y. Vaginal vault prolapse: choice of operation. Best Practice & Research Clinical Obstetrics & Gynaecology. 2005;19(6):959-77.
12. 12. Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, et al. Erratum to: An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). International Urogynecology Journal. 2016;27(4):655-84.
13. 13. Robinson D, Thiagamoorthy G, Cardozo L. Post-hysterectomy vaginal vault prolapse. Maturitas. 2018;107:39-43.
14. 14. Handa VL, Harvey L, Cundiff GW, Siddique SA, Kjerulff KH. Sexual function among women with urinary incontinence and pelvic organ prolapse. American journal of obstetrics and gynecology. 2004;191(3):751-6.
15. 15. Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C. A short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ-12). International Urogynecology Journal. 2003;14(3):164-8.
16. 16. Ellerkmann RM, Cundiff GW, Melick CF, Nihira MA, Leffler K, Bent AE. Correlation of symptoms with location and severity of pelvic organ prolapse. American journal of obstetrics and gynecology. 2001;185(6):1332-8.
17. 17. Romanzi LJ. Management of the urethral outlet in patients with severe prolapse. Current opinion in urology. 2002;12(4):339-44.