Biomaterial Database

Endoscopic vesical neck and uterovaginal suspension for cystocele prolapse repair. 1994

N Sadoughi, and D Pessis

Department of Urology, Rush University, School of Medicine, Chicago, Illinois 60612.

The therapeutic surgical approach to cystourethrocele and pelvic organ prolapse with or without urinary incontinence usually involves hysterectomy and anterior colporrhaphy. This is associated with a high degree of failure and may cause the appearance of de novo urinary incontinence because of functional disturbances of the lower urinary tract. We report a new combined needle suspension of bladder neck and uterine isthmus to correct uterovaginal prolapse and urinary incontinence without the need for hysterectomy. This endoscopic procedure is minimally invasive, safe, effective and simple. The operative approach is flexible, well tolerated and could be adapted to an outpatient setting. It is designed to restore the functional pelvic anatomy without extensive operative dissection and anterior colporrhaphy.

UI	MeSH Term	Description	Entries
D007044	Hysterectomy	Excision of the uterus.	Hysterectomies
D001745	Urinary Bladder Diseases	Pathological processes of the URINARY BLADDER.	Bladder Diseases,Bladder Disease,Urinary Bladder Disease
D004724	Endoscopy	Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.	Endoscopic Surgical Procedures,Surgical Procedures, Endoscopic,Endoscopic Surgical Procedure,Endoscopy, Surgical,Surgical Endoscopy,Surgical Procedure, Endoscopic,Procedure, Endoscopic Surgical,Procedures, Endoscopic Surgical
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014513	Ureter	One of a pair of thick-walled tubes that transports urine from the KIDNEY PELVIS to the URINARY BLADDER.	Ureters
D014518	Ureterocele	A cystic dilatation of the end of a URETER as it enters into the URINARY BLADDER. It is characterized by the ballooning of the ureteral orifice into the lumen of the bladder and may obstruct urine flow.	Ureteroceles
D014549	Urinary Incontinence	Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.	Incontinence, Urinary
D014596	Uterine Prolapse	Downward displacement of the UTERUS. It is classified in various degrees: in the first degree the UTERINE CERVIX is within the vaginal orifice; in the second degree the cervix is outside the orifice; in the third degree the entire uterus is outside the orifice.	Vaginal Prolapse,Prolapse, Uterine,Prolapse, Vaginal,Prolapses, Uterine,Prolapses, Vaginal,Uterine Prolapses,Vaginal Prolapses
D014621	Vagina	The genital canal in the female, extending from the UTERUS to the VULVA. (Stedman, 25th ed)	Vaginas