Vaginal wall prolapse may occur independently of the uterus. Several types are described:
- cystocoele - descent or bulging of the bladder into the upper two thirds of the anterior vaginal wall. It denotes weakness in the investing fascia of the vagina.
- urethrocoele - bulging of the urethra into the lower one third of the anterior vaginal wall. It is more properly called urethral displacement, as the urethra is not dilated.
- enterocoele - herniation of the pouch of Douglas into the upper posterior vaginal wall. The peritoneal sac may contain loops of bowel
- rectocoele - prolapse of the rectum into the lower posterior vaginal wall. It is not to be confused with rectal prolapse.
- inversion of the vagina or vaginal vault prolapse indicates a failure of the supports around the upper vagina. It may be seen after vaginal or abdominal hysterectomy.
Last reviewed 01/2018