Reconstruction of the pubovesicocervical fascia following surgical failures of the anterior vaginal wall

Results of reconstruction of fascia pubo-vesico-cervicalis in 21 women are presented after operative failure on the anterior vaginal dropped wall. The former operation consisted of anterior incision, separation of the walls to the sides, vesical intussusception with purse-string suture or transverse suture and of application mattress sutures on paraurethral tissue. At present the reconstruction of selected fascia pubo-vesico-cervicalis based on the doubling like a waistcoat and suturing under the symphysis pubis. Such a management causes a correctly fibrous and connective tissue support for urinary bladder and elevates the cervix upwards.