Objectives: We present our experiences and results in prospective cohort of 108 consecutive cases of women who underwent laparoscopic global prolapse mesh repair including sacrocolpopexy during three years period (2002-2005). 76 women underwent concomitant antiincontinence surgery (transobturator urethropexy), 32 women prolapse mesh repair only. Mean follow-up was 20,9 month (3-43). Our aim was to asses the succes of the procedure and to compare the impact on the urinary continence in these groups. Results: The cure rate of prolapse was 98,1%, incontinence cure rate was 84,4% in only prolapse surgery group and 97,1% in concomitant prolapse and incontinence surgery group. Conclusions: According to our results we suggest to perform the concomitant transobturator urethropexy in all women with complex prolapse including deficiency of anterior compartment (cystocele, urethrocele, hypermobility and ISD) and/or in women with occult incontinence preoperatively.
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