A Culdoplasty is another procedure that can be performed post-hysterectomy to improve support of the vagina. It reduces the occurrence of vaginal prolapse and closes off the space between the rectum and uterus or vagina, which may fill with fluid, bowel, or other contents and be a source of pelvic pain; closing this off reduces this risk.
During the procedure, Drs. Kimble will stitch the top of the vagina (known as the vaginal vault) to the uterosacral ligaments that formerly supported the uterus. This allows the vagina to be restored to its original location and alleviates any issues derived from displacement. It also utilizes the ligaments already present and does not require a mesh.