[Anterior approach sacrospinous colpopexy in a patient with vaginal vault prolapse, stress urinary incontinence and cystocoele with lateral defect].
We present a case of vaginal vault prolapse after hysterectomy associated with cystocoele with central and lateral defect and stress urinary incontinence, that was treated surgically with employment of sacrospinous colpopexy through anterior approach (from paravesical space), combined with anterior colporrhaphy by double TOT approach method (that is a butterfly-shaped polipropylen mesh, which arms were carried through upper and lower parts of obturator foramens by tension-free method). There were no postoperative complications. A control examination at 1 and 3 months after the operation showed maintenance of normal anatomic relations, which were obtained as a result of repair, total control of urinary continence and full patient's satisfaction from the operation.
Malinowski
Andrzej
A
Klinika Ginekologii Operacyjnej i Endoskopowej Instytutu CZMP w Lodzi.
Bobin
Leszek
L
Maciołek-Blewniewska
Grazyna
G
D020884:Colpotomy / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D013526:Surgical Mesh; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000150:complications / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*