[Treatment of genital prolapse via abdominal approach and using prosthetic material. Analysis of a series of 40 cases].

From a series of 40 cases and with a 2 to 8 years follow-up, the authors have analyzed the results of the surgical treatment via abdominal approach and with the use of prosthetic material, of severe genital prolapses. A stress urinary incontinence was associated in 77.5% of the cases. Post-operative complications and recurrences are few. As far as urinary incontinence is concerned, the true corrected failure rate is close to 10% and an urodynamic exploration prior to surgery is mandatory. The main indications of this type of surgery are defined especially in case of recurring prolapse or a previous history of hysterectomy.