Uterine preservation in the surgical management of genuine stress urinary incontinence associated with uterovaginal prolapse.

Retropubic ventral suspension of both the uterine isthmus and the vesical neck is presented as a new operative approach designed to correct uterovaginal prolapse as well as genuine stress urinary incontinence while preserving the uterus. This operation, which has been performed 16 times upon patients whose follow-up study has been five years or longer, is simple, conservative, anatomically sound, effective and safe. It represents a rational alternative in selected patients to the traditional procedure, which calls for vaginal hysterectomy together with an anterior and posterior colporrhaphy.