Use of cadaveric fascia lata to correct grade IV cystocele.
We describe a modification of the cadaveric prolapse repair and sling - CaPS technique that uses the sling surgery principles to correct grade IV cystocele. In this modification, the central and paravaginal defects reconstitution are performed using cadaveric fascia lata fixed over rectus abdominis muscle, eliminating the need of pubic fixation by screws, as proposed by the original technique. The modification described, besides presenting the benefits of CaPS, i.e., not using impaired tissues to reconstruct vesical support, and lower risks of perineal hypercorrection, also reduces the probability of complications of bone fixation.
Almeida
Sílvio H M
SH
Section of Urology, Department of Surgery, State University of Londrina, Paraná, Brazil. salmeida@sercomtel.com.br
Gregório
Emerson P
EP
Saquetti
Eufânio E
EE
Moreira
Horácio A
HA
Fraga
Frederico
F
Rodrigues
Marco A F
MA