Another common type of pelvic organ prolapse is called vaginal prolapse or “vault prolapse.” This is when the upper portion of the vagina descends into the vaginal canal. The weakening of the vaginal walls that can result in vaginal prolapse can be associated with aging or childbirth, or can be a side effect of a hysterectomy.
Even if hysterectomy has been done in the past, it is possible for the top of the vagina to fall down, just like uterine prolapse but without the uterus there. Hysterectomy does not treat or prevent prolapse, only proper reconstruction techniques can reduce the likelihood of prolapse recurrence, and hysterectomy does not improve the likelihood that your prolapse repair will hold up better over time. Treatment options include pessary, prolapse support garments, and surgical reconstruction.