[A new surgical technique to reduce genital-urinary prolapse]

The authors describe a new surgical technique to reduce the prolapse of genitals and urinary organs. In retrospect, we studied 36 women--between the ages of 59 and 85--who had been hospitalized from 1988 through 1990 at the Ospedale di S. Anna of Rome and from 1991 through May 1994 at the Ospedale Sandro Pertini of Rome. Twenty-eight out of 36 patients presented a III prolapse of the uterus with cystorectocele; 4 patients had a prolapse of the cupola vaginae after hysterectomy; 4 patients presented a prolapse of the residual stump after sub-total hysterectomy. In addition, 8 out of 36 patients presented a stress incontinence. The technique described adopts a special nylon lace to fix prolapsed organs to the fascia musculorum rectorum abdominis. Its ease and brief execution time, together with the complete lack of relapse, have convinced the authors to promote the diffusion of this technique, which allows relief from these extremely distressing complaints often not fully cured with traditional techniques.