Vaginal vault prolapse occurs when the upper portion of the vagina loses its normal shape and sags or drops down into the vaginal canal or outside of the vagina. It may occur alone or along with prolapse of the bladder (cystocoele), urethra (urethracoele), rectum (rectocoele), or small bowel (enterocoele).
Infrequently, uterine contractions will push a pedunculated submucosal fibroid through the cervical canal and it may prolapse into the vagina. Pedunculated fibroids that dilate the cervix or prolapse through the cervix into the vagina can usually be removed via the vagina. Removal of subserosal or intramural fibroids through a vaginal.
Aug 03, · It was a pedunculated 4cms cervival Surface Myoma (at the canal side) Removal Vaginal approach. The code assignment is in favor of "The removal of uterine Myoma(Cervix is the lower part of the uterus) excision/removal from the surface; vaginal approach "- ECTOMY VAGINAL APPROACH- makes good validation, no matter how the technique was.
They protrude into the vaginal canal and cause pain during sexual intercourse. The stalk at times gets twisted and causes severe pain. Abdominal cramps and pressure on the uterus is felt due to presence of these fibroids.