title: Monoprosthesis for simultaneous correction of stress urinary incontinence and cystocele: a 3-year follow-up.
abstract: BACKGROUND
  Stress Urinary Incontinence (SUI) and cystocele can occur simultaneously because they have identical predisposing factors. This procedure reinforces pubourethral ligaments and the vesicovaginal fascia, solving SUI and Cystocele.
  
  
  METHODS
  57 patients with grade III or higher cystocele were enrolled in this trial; SUI was present in 20% of patients (mean age: 57 years). NAZCA TC was used as monoprosthesis. Prolapse was evaluated using the POP-Q System, sexuality using the FSFI questionnaire, and LUTS using the OAB-SF questionnaire.
  
  
  RESULTS
  After surgery, there were positive changes, sustained during the follow-up: SUI was cured in 80% patients; there was only one patient with de novo SUI and a single case of prolapse recurrence.
  
  
  CONCLUSIONS
  These results suggest that NAZCA TC is safe and effective, adding the advantage of correcting SUI at the same time.
authors: Uro-gynecology Unit, Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello, Palermo, Italy.
authors: Biagio
authors: B
authors: Adile
authors: Giorgio
authors: G
authors: Gugliotta
authors: Giorgio
authors: G
authors: Adile
authors: Laura
authors: L
authors: Lo Verso
authors: Francesco
authors: F
authors: Sommatino
authors: Salvatore
authors: S
authors: Scurria
mesh_terms: D052858:Cystocele / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery