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I'm 16 weeks post op Sacrospinous Fixation to try and fix the severe Vault prolapse that had developed probably due to an early complete hysterectomy ( at age 40 ) and subsequent menopause ( now age 61). An earlier operation for Sacrocolpopexy had to be abandoned last year due to bowel adhesions,on my abdominal wall, but a small anterior repair was performed which helped, but only for a while. In the last few weeks I was aware of a further bulge, but not as bad as before. On examination, the back wall is holding up nicely at the moment, from the 'fixation', but the added pressure on the front wall is causing it to further prolapse :-(. Unfortunately the tissue is so thin there, that it is unlikely that a further repair would hold. Also my consultant does not like to use mesh now, because of the problems with erosion.....He has exausted all the surgical options for me, but has recomended that I have a course of hormone treatment for 6 months or so, as I have Vaginal Atrophy. I have read that this can also help strengthen the tissues ? Has anyone had positive results from using local vaginal estrogen therapy?
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