Purpose: A new method to support female prolapsed pelvic organs is pre
sented, which involves use of nonabsorbable mesh cut in a hammock shap
e. The approach is transvaginal and the novelties are the way in which
the mesh is anchored and its considerable size. Materials and Methods
: The mesh is anchored transversally between the 2 arcus tendineus of
the endopelvic fascia and in the anteroposterjor direction between the
bladder and uterine necks. The anteroposterior dimension of the mesh
must completely cover the cystocele. From January 1996 to June 1997 th
is technique was used in 44 patients ranging in age from 43 to 86 year
s. The patients presented with various degrees of incontinence and com
binations of cystocele, uterine or vaginal vault prolapse, rectocele a
nd/or enterocele. Cystocele and incontinence were classified according
to the SEAPI QMM scales and the other anatomical defects according to
the Beecham classification. Preoperative analysis of all patients inc
luded cystography, video urodynamics, and pelvic and abdominal echogra
phy. Results: All patients affected by some degree of incontinence wer
e cured. Patients with prolapse without incontinence were completely s
atisfied with the operation. Uterine prolapse was third degree in 6 of
20 patients and it partially recurred in 3. Cystography in all patien
ts demonstrated excellent repair of the descensus. Sexual life and men
ses did not change, and no pelvic fibrosis or hydroureteronephrosis oc
curred. Followup ranges from 9 to 23 months (median 13.9). Conclusions
: This technique has broad application and is simple to perform. Longe
r followup will prove its merits definitively.