Cistopessi mediante rete in polypropylene

Abstract

Surgical therapy of serious cystocele must aim at restoring the area of support of the aponeurotic-muscular sheet of the pelvic floor and, if necessary, the supporting ligaments (round, utero-sacral). However it is not always easy to carry out this therapy, especially in the case of patients who have already been operated on using more or less complicated procedures. In such cases it is important to “limit the damage” i.e. to resolve the symptomatology without perfect anatomical correction, rather than undertake complex procedures which might be destined to fail or result in painful, dysuric symptomatology. With this aim in mind a simple operation is proposed which, on its own or combined with a hysterectomy with stabilizing of the vaginal cupola, depending on the case, has always obtained the desired results. The technique is that of putting a polypropylene mesh between the vagina and bladder.