4 Jul 2025 • The International Society for Gynecologic Endoscopy (ISGE) has released evidence-based recommendations to reduce the risk of post-hysterectomy vaginal vault prolapse (PHPV) after hysterectomy for benign uterine conditions. There are four recommendations that are tailored to the severity of prolapse.

For non-prolapsed or stage I cases, suturing the cardinal and uterosacral ligaments is advised. McCall’s culdoplasty is recommended for stage II cases, while sacrospinous ligament fixation (SSLF), sacrocolpopexy (SCP), or alternatives like pectopexy are suitable for stages III and IV. However, SSLF and SCP should be avoided in cases without prolapse.

These measures aim to improve long-term surgical outcomes and prevent post-hysterectomy vaginal vault prolapse.

Source: EJOG | Read Full Story