AVESTA^® Procedure for Vaginal Vault Prolapse- Frequently Asked Questions

Q: What exactly does an AVESTA procedure do?

A: The AVESTA procedure restores support to the top of the vagina. With vaginal vault prolapse, the top of the vagina has fallen down from its normal position. Following hysterectomy, the structures that support the top of the vagina may have been weakened or damaged. The AVESTA procedure uses the uterosacral ligaments to re-establish support to the top of the vagina and restore it to a normal position. The AVESTA procedure restores the uterus to a more normal position by shortening and strengthening the uterosacral ligaments.

Q: What causes vaginal vault prolapse?

A: There are many factors that contribute to vaginal vault prolapse but the condition occurs frequently in women, following hysterectomy.

Contributing factors include:

• Age
• Hormonal changes that occur with menopause
• Chronic coughing from smoking
• Bronchitis
• Allergies
• Physical labor like heavy lifting
• Extreme sports

Q: What are the symptoms of vaginal vault prolapse?

A: Many women experience a sense that "something is falling out." Others have problems with urine leakage or urine retention, problems with bowel movements, pelvic pain or pelvic heaviness or painful intercourse. Symptoms vary and should be evaluated by your physician to determine your exact condition.

Q: How is vaginal vault prolapse usually treated?

A: Your doctor may decide to repair your vaginal vault prolapse surgically. The AVESTA procedure is a newer and improved laparoscopic procedure that is designed to restore vaginal vault support.