Figure 2-5. Correction of cystourethrocele.
A-Cervix pulled down as far as possible with tenaculum. Vertical
incision made entirely through to vaginal wall.
B-Vaginal flaps further dissected upward. Urethral meatus and
pubocervical fascia separated from vaginal wall with Mayo
C-Fascia brought together with continuous surgical chromic
suture, beginning at lowest point and ending near external
urethral meatus. A few interrupted sutures (chromic gut or silk)
D-Excess portion of vaginal wall carefully removed, leaving
sufficient amount to be closed with tension.
E-Completed operation, maintaining bladder and urethra in