Inventia se refera la medicina, in special la urologie. Metoda propusa consta in aceea ca in vezica urinara se introduce un cateter-balonas uretral Foley, in balonasul caruia se administreaza 7...10 ml de solutie fiziologica si se determina pozitia colului vezical, precum si a jonctiunii uretro-vezicale. Apoi cu o incizie marginala se marcheaza, fara decoletare, o portiune a peretelui vaginal anterior de forma trapezoidala, amplasata deasupra jonctiunii uretro-vezicale. Se efectueaza incizia mediana a peretelui vaginal anterior la 1 cm sub meatul uretral pana la trecerea mucoasei pe colul uterin, ocolind, totodata, portiunea marcata. Se efectueaza decoletarea mucoasei vaginale in directii laterale de la portiune, apoi a peretelui vaginal de vezica urinara si a fundului vezicii urinare de colul uterin. Din portiunea trapezoidala a peretelui vaginal anterior, pastrand segmentul vezico-uretral in pozitie optimala, se rezeca un lambou de forma triunghiulara, cu baza indreptata spre colul uterin. Dupa aceasta, se restabileste integritatea portiunii, suturand marginile obtinute dupa rezectia lamboului de forma triunghiulara. Marginile laterale ale portiunii obtinute se sutureaza in spirala cu fire suspendate. Deasupra simfizei pubiene se efectueaza incizia orizontala a tegumentelor pana la aponevroza muschilor recti abdominali cu lingimea de 4 cm. La una din marginile inciziei orizontale cu ajutorul acului-perforator se efectueaza punctia aponevrozei muschilor recti abdominali, se ocoleste simfiza, vezica urinara prin spatiul Retzius iesind lateral de uretra. Doua capete ale firului, trecute in apropierea colului vezical prin marginea laterala corespunzatoare a lamboului, se trec prin acul-perforator si se scot in incizia suprapubiana. Manipularea se repeta pe partea opusa. Controland cu ajutorul cistouretroscopului se efectueaza tensionarea suturilor suspensoare pana la momentul obstructiei vizuale a jonctiunii uretro-vezicale, dupa care ele se leaga in pereche. Se sutureaza incizia suprapubiana. Se efectueaza suturarea muschilor parauretrali cu fire separate de nailon, se inlatura cistocelul, se executa repozitia fundului vezicii urinare. Se inlatura surplusul mucoasei peretelui vaginal anterior si acesta se sutureaza continuu cu fir de vicril.The invention relates to medicine, especially to urology. The proposed method consists in the fact that in the bladder a Foley urethral balloon catheter is inserted, in which the balloon is administered 7 ... 10 ml of physiological solution and the position of the bladder neck and the urethro-bladder junction is determined. Then, with a marginal incision, a portion of the anterior vaginal wall of the trapezoidal shape, located above the urethro-bladder junction, is marked. The median incision of the anterior vaginal wall is made 1 cm below the urethral meatus until the mucous membrane passes through the cervix, bypassing at the same time the marked portion. It is performed the descaling of the vaginal mucosa in lateral directions from the portion, then of the vaginal wall of the bladder and of the bottom of the bladder from the cervix. From the trapezoidal portion of the anterior vaginal wall, keeping the bladder-urethral segment in the optimal position, a triangular-shaped flap with base directed towards the cervix is resected. After this, the integrity of the portion is restored, suturing the edges obtained after the resection of the triangular shaped flap. The lateral edges of the obtained portion are sutured in the spiral with suspended wires. Above the pubic symphysis, the horizontal incision of the teguments is performed until the aponevrosis of the rectus abdominal muscles with a height of 4 cm. At one of the edges of the horizontal incision with the help of the perforator needle, the aponevrosis point of the rectus abdominal muscles is performed, the symphysis is bypassed, the bladder through the Retzius space coming out laterally from the urethra. Two ends of the thread, passed near the bladder neck through the corresponding lateral edge of the flap, pass through the piercing needle and are removed in the suprapubian incision. The manipulation is repeated on the opposite side. Controlling with the help of the cystourethroscope, the suspensory sutures are tensioned until the moment of visual obstruction of the urethro-bladder junction, after which they are linked in pairs. The suprapubian incision is sutured. The paraurethral muscles are sutured with separate nylon threads, the cystocele is removed, the bladder is replaced. The surplus of the mucosa of the anterior vaginal wall is removed and it is continuously sutured with a vein.