Das Zusammengehen von Stressinkontinenz und Prolapsus uteri ist häufig. Auf 861 Fälle von Prolapsus uteri fanden die Verfasser bei 339 Patientinnen eine Stressinkontinenz (39,3%). Dies erfordert eine kombinierte Behandlung dieser beiden Beschwerden. Die Wiederherstellung des cervicourethralen Winkels ist das Wesentliche bei der Behandlung. Mit der Kombination einer Vaginaltechnik (Marion- oder Kennedy-Operation) und der suprapubischen Zervikozystopexie nach Marshall, Marchetti, Krantz, erzielten sie bessere Ergebnisse (93%) als mit den einzelnen Methoden (88% wenn man nur eine Vaginaltechnik, 66% wenn man nur die Zervikozystopexie durchführt).

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© 1968 S. Karger AG, Basel
1968
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