PROLAPSE AND INCONTINENCE TOGETHER OR SEQUENTIALLY

Abstract

Objective is to analyze the results of simultaneous surgical correction of the pathology of combined stress urinary incontinence (SUI) and cystocele II-III.
Material and methods. The results of surgical treatment of 25 women with SUI and cystocele II-III according to the ROP-Q international classification. Simultaneous surgical treatment of women with SUI and cystocele II III degree with the accurately diagnosed absence of apical prolapse is possible. We performed surgical correction of SUI using the synthetic tape of the Urosling type manufactured by the Lintex company (Russia), correction of cystocele II-III degree was carried out using the patient's own tissues in the anterior colporrhaphy operation.
Results. The results of interventions in 25 patients who underwent a simultaneous correction of cystocele and SUI were evaluated by cystocele reduction and continence control. One patient had relapse of cystocele and SUI 3 months after the operation due to the non-compliance with the doctor’s recommendations. The patient did not limit her physical activity. There was no cystocele recurrence in 24 patients 10-15 months after the operation. At 10 to 15 months after surgery, 22 out of 25 women had no signs of SUI. At 6 to 7 months after surgery, a slight leakage of urine caused by a strong cough was observed in 2 patients.
Conclusions. The results of the performed 25 simultaneous surgical corrections of cystocele in the concomitant SUI give the tangible prospects for the applied method of surgical treatment of these pathologies.