症例 challenge · Surgical approach decision / Gynecology / Pelvic floor · teaching

Vaginal Vault Prolapse (Post-Hysterectomy Apical) · Reconstructive Approach · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

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Case #1Surgical approach decision / Gynecology / Pelvic floor

📋 Case data

Symptoms + sexual function wish + general status + approachSymptomatic, conservative preferred/not currently fit for surgery

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Symptoms + sexual function wish + general status + approach

POP-Q stage? Symptoms? Preserve sexual function/can tolerate abdominal surgery?

💡 After hysterectomy, apical support depends on the vaginal cuff; the core decision is reconstructive vs obliterative and the approach (abdominal sacrocolpopexy vs transvaginal native tissue).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.