Our goal for patients with uterovaginal and vaginal prolapse are:
- To restore the normal vaginal depth and axis.
- To relieve the symptoms of pressure.
- To maintain satisfactory sexual function.
It is very important to understand that the uterus, per se, has no bearing or effect on vaginal support. Therefore, a hysterectomy should not be considered as part of repair surgery for uterovaginal or vaginal prolapse, unless there is distinct causal pathology involving the uterus.
The length of the vagina in a normal adult female is approximately 10 to 12 cm. Standing, the lower third of the vagina is pointing 90° to the floor and her upper two-thirds of vagina is at an angle almost parallel to the floor and directly toward her lower backbone.