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SUMMARY We present 50 patients carrying later genital prolapse who went under repair with a prolene mesh and a posterior intravaginal sling as a prophylaxis of the posterior vaginal prolapsed wall, entered to the service of Gynecology of the Carlos Van Buren Hospital between December 2004 and February 2006. The preoperating diagnosis was complete genital prolapse in 38 women, prolapse of previous and later vaginal wall in 8, prolapse of the cupula in 3 and prolapse of the later vaginal wall in one. In 30 patients urinary incontinencia to effort was associated in addition. 92% of the patients evolve in satisfactory form in the intra and postoperative pursuit with restoration of the anatomy of the pelvian floor and without greater complications. We believe that a greater pursuit is necessary to validate this technique completely, even though in our present study this procedure is superior to which uses the "mucous bridge" to repair the later wall.

CORRECCIÓN DE RECTOCELE CON IVS POSTERIOR Y MALLA TUNELIZADA POR EL TABIQUE RECTOVAGINAL