[A simple technic for vaginal suspension using multiple approaches. Study of a series of 50 cases]

Fifty patients underwent vaginal suspension using a new technique based on Stamey's procedure. The method of operation is described with illustrations. This procedure can be carried out with the patient in the lithotomy position when special indications are present: when prolapse has to be cured by the vaginal route and a vaginal suspension has to be carried out; when a vaginal hysterectomy has to be carried out together with a vaginal suspension; when an upper approach vaginal suspension using a Marshall-Marchetti technique has failed. The advantages of this technique seem to the authors to be: the simplicity of the procedure: only the lithotomy position is needed. It is easy and quick to carry out, it is safe: dissecting out the bladder from the vaginal approach and passing threads from below to above practically completely avoids the risk of damaging the bladder. The preliminary clinical and uro-dynamic results are given.