Correction of Massive Vaginal Prolapse in an Older Population: A Four‐Year Experience at a Rural Tertiary Care Center

Objective: To ascertain the success of complex reconstructive vaginal surgery in older women. Design: Retrospective review of hospital and outpatient records. Setting: Rural tertiary care referral center, Pennsylvania State University Hospital, Hershey, Pennsylvania Patients: Twenty-four patients referred for massive eversion of the vagina and/or complete procidentia. Measurements: Symptoms and anatomic correction of patients' complaints. Results: After surgery, 83 percent were asymptomatic without pelvic relaxation, 4 percent were asymptomatic with pelvic relaxation, 4 percent were symptomatic without pelvic relaxation, and 9 percent were symptomatic with relaxation. Conclusions: Older women can undergo major vaginal reconstructive surgery with relief of symptoms and restoration of vaginal depth and axis.