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 vesico-vaginal 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.