A NEW VAGINAL PROCEDURE FOR CYSTOCELE REPAIR AND TREATMENT OF STRESS URINARY-INCONTINENCE

Purpose: Treatment of cystoceles and stress urinary incontinence conti nues to evolve. We evaluated the efficacy of a new vaginal wall sling procedure for cystocele repair and treatment of stress urinary inconti nence. Materials and Methods: We present our experience with the vagin al wall sling procedure in 36 patients (mean age 67.4 years) with cyst ocele. Of the patients 16 had undergone a prior pelvic operation. With our technique a vaginal wall tube was created with the base in the bl adder neck and fixation to the periurethral tissues or suspension to t he suprapubic area. Results: Success rates were 95 and 82% for cystoce le and stress incontinence repair, respectively. Mean followup was 17 months. Morbidity was minimal and mean hospitalization was less than 5 days. Conclusions: This original, simple, noninvasive treatment is ap plicable for all cystoceles regardless of patient age or sexual activi ty, and has shown encouraging results. Based on our experience we reco mmend this procedure for repair of cystoceles and stress urinary incon tinence.