Objective: The aim of this study was to assess the use of polypropylene mesh for treatment of cystocele and stress urinary incontinence.

Material and Methods: The study group included 26 cases who have cystocele and stress urinary incontinence. Patients with stage 2 or more cystocele, classified according to Internatinal Continence Society (ICS) classification, were included into this study. Routine tests and urodynamic studies performed for all cases. Miduretra and bladder support was provided by 4-arm polypropylene mesh in all cases. The follow-up period was 1 year for post-operative complications and ICIQ-SF scores were recorded at one month.

Results: The mean age of the 26 cases were 52.3±11 and postoperative mean follow up was 13.1±8.7 months. There were no cystocele recurrence and stress urinary incontinence symptoms at the postoperative period. The success rate was considered 100% for this surgery. Vaginal erosion was detected in three cases (11.5%).Two cases (7.7%) complained of dispareunia. Thigh pain occurred in two cases, one patient had infection at trocar insertion point in the genitofemoral fold and sinus formation occurred in one patient. ICIQ-SF scores significantly decreased from 14.9 ± 2.4 to 5.2 ± 4.7 at postoperative first month (p < 0,01) .

Conclusion: The usage of only one polypropylene mesh for the support of bladder and midurethra in cases with cystocele and stres urinary incontinence may be accepted as a successful and effective method with low morbidity and well tolerability.