Modified McCall Culdeplasty and High Uterosacral Vaginal Vault Suspension

June 08, 2006

In This Article

Modified McCall Culdeplasty

Medscape is pleased to provide video excerpts from the "Female Urology and Urogynecology" section of the Pelvic Surgery Video Series from Pelvicmed.com. Renowned gynecologist Mickey M. Karram, MD, and urologist Jerry G. Blaivas, MD, discuss indications, techniques, and complications of pelvic surgical procedures. Medscape will feature new clips on a monthly basis. For further information about the series and to purchase individual DVDs or the complete series, please visit www.pelvicmed.com.

The following video clips address the aspect of supporting and/or suspending the apex of the vagina. Numerous operations have been described to support the prolapsed vagina, either at the time of hysterectomy or in the patient who develops posthysterectomy vaginal vault prolapse. These videos demonstrate very successful techniques for suspending and/or supporting the vaginal cuff. The first is the modified McCall culdeplasty, which was initially described in 1957 by Milton McCall. This is an excellent technique, as it reattaches the vaginal cuff to its support structures (the uterosacral ligaments), obliterates the cul de sac, and suspends the posterior vaginal wall. One should consider performing this procedure prophylactically at the time of every vaginal hysterectomy. This technique can also be used for milder degrees of prolapse at the time of a vaginal hysterectomy.

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For further information about the series and to purchase individual DVDs or the complete series, please visit www.pelvicmed.com.

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