Four-corner bladder and urethral suspension for moderate cystocele.

  title={Four-corner bladder and urethral suspension for moderate cystocele.},
  author={Shlomo Raz and Carl Georg Klutke and Jacob Golomb},
  journal={The Journal of urology},
  volume={142 3},
The classical approach to cystocele repair involves the approximation of lax pubocervical fascia through the anterior vaginal wall with narrowing of the bladder neck and proximal urethra by the Kelly-type plication. This procedure corrects the prolapse but when performed for the treatment of incontinence it has a high failure rate because the bladder neck and urethra are not placed into a high, supported, nonobstructed retropubic position. Furthermore, due to elevation of the bladder base… CONTINUE READING

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