Gore-Tex mesh pelvic occlusion and secondary colpopexy: A new surgical technique for posthysterectomy vaginal vault prolapse

Objective: This article presents and discusses a new surgical abdominal technique for the treatment of posthysterectomy vaginal vault prolapse. Method: It provides support of the peritoneal surface of the pelvic floor by means of a Gore-Tex mesh, which closes this space. The vaginal vault is fixed to the centre of the mesh. Study design: Descriptive study. Results: Sixteen patients with vaginal vault prolapse were operated on and postoperative follow-up time ranged from 16 to 46 months. There was only one case in which the mesh had to be removed due to infection and posterior erosion of the vaginal wall, and no cases of recurrent vaginal vault prolapse. Conclusion: A Gore-Tex mesh, placed at the top of the vaginal vault and extending across the pelvic floor, can effectively treat posthysterectomy vault prolapse. (C) 2005 Elsevier Ireland Ltd. All rights reserved.