[Association of Bologna-type cervicocystopexy and Richter-type sacro-spinal fixation in low approach treatment of genital prolapse. Apropos of 18 cases]. / Association de la cervicocystopexie de type Bologna à la fixation sacro-spinale de type Richter dans le traitement par voie basse des prolapsus génitaux. A propos de 18 cas.

We report our experience with Richter spinofixation in association with Bologna cervicocystopexy. Eighteen patients underwent surgery for voluminous prolapse. Spinofixation did not lead to complications. This technique allows a vaginal approach in cases where only an abdominal operation was possible before. Incontinence results were similar to those with the Bologna procedure alone with the additional improvement of allowing a permeable vagina. Currently mean follow-up is 13 months, but these encouraging results suggest that this association should be continued in the future.