TREATMENT OF CYSTOCELES WITH URINARY STRESS-INCONTINENCE

Thirteen women were operated for cystocele associated with urinary str ess incontinence, Cystoceles were grade I in 6 cases, grade II in 6 ca ses and grade III in 1 case. Five patients underwent retropubic colpos uspension according to Burch (3 cases) and M.M.K. (2 cases). Eight pat ients were treated by RAZ's technique associated with anterior colpora phy in order to reduce the cystocele. In this latter group, only one r ecurrence was observed and was treated by repeat colporaphy with good results. Colposuspension associated with anterior colporaphy is a reli able method for the treatment of cystocele with urinary stress inconti nence, associated with low morbidity and short hospitalization. Its re sults are probably comparable to those of retropubic colposuspension, at least for a 6 months follow-up.