GSI surgical treatment
Retropubic vaginal urethropexy
Springer Online Journal Archives 1860-2000
Abstract We report a 5-year experience performing vesicovaginal fascial sling operation (VVFSO) for the treatment of genuine stress incontinence associated with prolapse. This original technique, plus others to correct prolapse, was employed in 41 women evaluated preand postoperatively with traditional clinical and urodynamic methods. Essentially the procedure is a transvaginal retropubic urethrocystopexy by means of two fascial strips, obtained from the central part of the cystocele, crossed beneath the urethrovesical junction and fixed to the periostium of the lower retropubis on each side. All 41 patients were followed for 1–5 years, with 39 of them cured (95.1%) and 2 failed (4.9%). A significant postoperative increase in the maximal urethral closure pressure, from 10–35 cmH2O with a mean of 18, was found. The VVFSO is an easy vaginal procedure, which provides a high success rate in correcting GSI associated with prolapse.
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