Uterine prolapse with bilateral hydronephrosis, suspension of vault to iliococcygeus fascia

摘要

Pelvic organ prolapse is a common health problem, and though severe morbidity is rare, it can have marked effects on quality of life. The treatment of vaginal vault prolapse can be a difficult and challenging problem. 60 year old women presented with stage IV uterine prolapse and bilateral hydronephrosis. To reinforce the support of the vagina concurrent use of iliococcygeus fascia colpopexy with the McCall culdeplasty was done for primary uterine prolapse.