Etiology & Treatment of Vault Prolapse – Recent Advances and Personal Experience

As life expectancy in a woman is increasing so is the incidence of pelvic floor disorders. The life time risk of surgery for pelvic prolapse or incontinence has been estimated at 11% with a reoperative rate for failure at 29%. To overcome this reoperative rate, understanding of the functional anatomy of the pelvic viscera and biomechanics of the pelvic support continues to evolve thereby innovating newer surgical techniques. In this article an insight will be given on some aspects of these recent advances. We present our personal experience with 22 patients of prolapse after treatment with Khanna's Sling operation. The operation was performed in 12 patients of vault prolapse as primary treatment and in 10 patients as prophylactic treatment.