Hi. Without the uterus (hysterectomy), the top portion of the vagina may gradually fall toward the vaginal
opening and produce a lump at the opening of the vagina (vaginal vault prolapse). As vagina droops, additional
stress is placed on other ligaments, and causes the bladder to herniate near the top of the vagina
(enterocele). Without medical treatment (intravaginal pessaries) or surgery, these structures may eventually
fall from its normal position, and severe pain and pressure, bowel and urinary difficulties or painful sex.
Thus, timely medical care is recommended to evaluate your condition and prevent further complications. Hope