AUGS/IUGA Scientific Meeting 2019-Procidentia Repair Incorporating a Modified McCall Vault Suspension

Procidentia Repair Incorporating a Modified McCall Vault Suspension

Video Transcription

Video Summary

The video demonstrates the management of a large prosidentia (vaginal vault prolapse) in a 60-year-old patient. The procedure includes a vaginal hysterectomy, vaginal wall repair, and a modified McCall vault suspension. The surgeon uses a teardrop incision to access the cervix and performs a routine vaginal hysterectomy. The utrosacral cardinal ligament complex is identified and exposed, and pedicles are secured. The McCall Coldoplasty is performed to support the vaginal cuff using sutures passed through the vaginal mucosa and ligament complex. Other repairs are done, including cystocele and levator hiatal defect closure. The patient experiences successful recovery with resolved symptoms at follow-up appointments. The modified McCall technique is suggested as an alternative to sacrospinous fixation for vaginal vault suspension with good long-term success rates.

Asset Caption

Ariel Zilberlicht, MD

Keywords

prosidentia

vaginal vault prolapse

vaginal hysterectomy

McCall vault suspension

teardrop incision