[Treatment of genital prolapse by transposition of the uterine isthmus below the urethra (author's transl)].
The authors describe a new per vaginam method devised to treat both uterine prolapse and associated or latent urinary incontinence in menopausal women. After amputation of the cervix, the uterine isthmus is brought down below the urethra and kept in this position by the uterosacral ligaments, which are separated from the uterus and sutured to the subpelvic fibrous tissues. This is followed by the subtotal colpectomy in women who have given up sexual intercourse and by partial colpectomy of a special design in those who wish to pursue sexual activity. Thirty-one operations of this kind have been performed with immediate success in 29 and delayed success in 12.
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D012725:Sexual Behavior; D014521:Urethra; D014549:Urinary Incontinence / Q000628:therapy; D014596:Uterine Prolapse / Q000601:surgery*; D014599:Uterus / Q000601:surgery*
Traitement du prolapsus génital par transposition sous-urétrale de l'isthme utérin.