Recurrent Pelvic Organ Prolapse After Prior POP Surgery: When Vaginal Native Tissue Apical Suspension Has Failed

Recurrence of pelvic organ prolapse (POP) is a recognised outcome following any prior POP surgical repair. When vaginal apex prolapse recurs in a patient who has already undergone a vaginal native tissue apical suspension, the clinical picture presents a specific surgical challenge that calls for a distinct set of considerations.

Clinical Scenario

This protocol applies to patients presenting with recurrent vaginal apex prolapse who have previously undergone POP surgery and in whom a vaginal native tissue apical suspension approach has not achieved a durable result.

Surgical Approach (Partial Overview)

When a patient chooses to proceed with surgery in this setting, the options considered involve abdominal or vaginal routes, with the possibility of augmentation — the specific selection and sequence depends on individual factors detailed in the full protocol.

Full surgical algorithm, technique selection criteria, and procedural details are available in the complete structured regimen.

Instant Access to Structured Evidence-Based Regimens

References

Recurrence of POP is possible after any POP surgery.

If a patient chooses to undergo surgery for recurrent vaginal apex prolapse, abdominal sacrocolpopexy, vaginal colpopexy with possible mesh or graft augmentation, or colpocleisis may be considered if the patient has failed a vaginal native tissue apical suspension.

DOI: 10.1097/AOG.0000000000003519

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