Vaginal Vault Suspension Specialist
Dr. Daniel Stone, MD FACOG
Urogynecologist located in Phoenix, AZ
Dr. Daniel Stone, MD performs Vaginal Vault Suspension for patients in the Phoenix, Scottsdale and surrounding Arizona areas. These procedures can help patients that suffer from Pelvic Organ Prolapse.
Vaginal Vault Suspension Q & A
Why are vaginal vault suspensions done?
Vaginal vault suspensions such as the uterosacral suspension and sacrospinous ligaments suspension are used to support the top of the vagina at the time of a hysterectomy, hysteropexy (uterine attachment surgery) or afterward. These repairs are done for uterine prolapse or vaginal vault prolapse.
How is the uterosacral ligament suspension done?
Dr. Stone can perform this surgery in a variety of ways including laparoscopic (small abdominal incisions) or through a vaginal incision. Dr. Stone will attach this ligament to the top of the vagina or in the case of a hysteropexy, which is a uterine attachment surgery, the uterosacral ligament is attached to the back of the cervix.
How is the sacrospinous ligament suspension done?
This surgery is performed vaginally. Dr. Stone usually reserves this surgery for the treatment of vaginal vault prolapse or uterine prolapse where the patient desires to keep her uterus. Dr. Stone will dissect the ligament and attach the ligament to the top of the vagina or cervix using suture.
Do these repairs use mesh?
What is the recovery like?
Dr. Stone recommends 6 weeks of no heavy lifting (no more than 15 lbs) and 6 weeks of pelvic rest after these procedures.
What are the risks of vaginal vault suspensions?
Risks include the following
- Pain, swelling, numbness near incision sites
- Damage to nearby organs such as bowel, bladder, and rectum
- Blood clots and problems related to anesthesia
What are the alternatives to this repair?
There are several alternatives that Dr. Stone will discuss with you. Conservative alternatives will include "watching and waiting", pessary placement, and pelvic floor physical therapy. The primary surgical alternative is a sacrocolpopexy, which is a laparoscopically placed attachment of mesh between the vagina and the sacrum. A sacrocolpopexy increases the durability and surgical success but also add the risk of mesh-related complications. Dr. Stone will discuss with you the advantages and disadvantages of each approach and individualize his recommendation based on your values, expectations and specific condition.
What are the benefits of vaginal vault suspensions?
Vaginal vault suspensions have a good success rate and allow Dr. Stone to use a vaginal approach using your own tissue. By using your own tissue, Dr. Stone can eliminate the risk of mesh-related complications.
Are there any other surgeries that are commonly performed with vaginal vault suspensions?
Yes, rarely is this surgery performed in isolation. Dr. Stone will discuss with you any other surgeries that would be performed at the same time. Other commonly performed surgeries include:
- Hysterectomy (removal of uterus and cervix)
- Bilateral Salpingo-oophorectomy (removal of tubes and ovaries)
- Bilateral Salpingectomy (removal of tubes)
- Other prolapse repair surgeries
- Cystoscopy (a camera is used to look inside the bladder)
- Anti-incontinence surgeries
Major Insurance Providers Accepted
We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.
Phoenix, Arizona 85016-1302
Office Hours: Monday-Friday from 8 AM – 5 PM
Main: (602) 788-1521
Fax: (602) 688-5420
Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.