FIELD: medicine; surgical urogynecology.
SUBSTANCE: invention can be used in the surgical treatment of recurrent urinary incontinence of various types, including in women with installed mesh implants. The parietal peritoneum is opened over the right lateral surface of the first sacral vertebra at the level of the promontory. Non-absorbable suture material is used to continuously suturing the periosteum of the sacrum in the direction of the right sacrouterine ligament, right sacrouterine ligament to the cervix, cervix. The suture is continued to the anterior third of the left uterosacral ligament. The suture is applied in the opposite direction and completed by forming a knot at the periosteum of the sacrum, access is made to the prevesical space, the lateral walls of the vagina are isolated at the level of the bladder neck and double suturing of the vaginal walls and Cooper's ligaments is performed, capturing the Gibert's ligaments with non-absorbable suture material, forming the pubo-urethral ligament on both sides.
EFFECT: obtaining a method of surgical treatment of recurrent forms of urinary incontinence in women.
1 cl, 3 dwg
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Authors
Dates
2023-09-19—Published
2023-07-16—Filed