Transvaginal sonography in the postoperative evaluation of colposuspension

Thirty-two patients with cystocele and rectocele with complaints of genuine urinary stress incontinence were subjected to complete urodynamic study, including intravaginal endosonography, before the operation and 6 weeks and 1 year after the operation. Intravaginal endosonography demonstrated the anatomic correlation of the bladder base, neck, and proximal urethra in relation to the inferior border of the symphysis pubis. In 28 patients, satisfactory correction of the bladder anatomy was achieved with operative treatment of genuine stress incontinence (GSI). Four patients presented persistent and recurrent GSI (2 in each group) after several weeks postoperatively. In addition, 2 patients had frequency-urgency syndrome, and 3 had voiding difficulties after the operation, but with no symptomatology of GSI. The patients with the symptoms described had various anatomic configurations after colposuspension. Vaginal endosonography is a simple technique with many advantages and satisfactory results in preoperative postoperative study, without radiation exposure and with minimal inconvenience to the patient.