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Results of various operations for urinary stress incontinence

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Summary

Four hundred and eleven women with urinary incontinence were studied and treated over a 12-year period. The surgical procedures undertaken included 45 colporrahies with Kelly stitches, 12 interposition operations, 49 fascial slings, 49 Zoedler slings using Mersilene, 66 slings using dura, 136 retropubic colpourethrocystopexies, and 54 other operations. Retropubic operations, such as colpourethrocystopexy, should be considered the primary operation for stress incontinence, for if correctly executed, they give the best long-term cure rate (97%).

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References

  1. Beck PR, Grove D, Arnusch D, Harvey J (1974) Recurrent urinary stress incontinence treated by the fascia lata procedure. Am J Obstet Gynecol 120: 613–624

    PubMed  Google Scholar 

  2. Burch JC (1961) Urethrovaginal fixation to Cooper's ligament for correction of stress incontinence, cystocele and prolapse. Am J Obstet Gynecol 81: 281–290

    PubMed  Google Scholar 

  3. Faber P, Beck L, Heidenreich J (1978) Treatment of urinary stress incontinence with the lyodura sling. Urol Int 33: 117–119

    Google Scholar 

  4. Heidenreich J, Faber L, Beck L (1975) Kongreß der deutschen Gesellschaft für Urologie, Düsseldorf. Demeter, Gräfelfing

    Google Scholar 

  5. Ingelman-Sundberg A (1947) Extra-vaginal plastic repair of the pelvic floor for prolapse of the bladder neck; a new method to operate for stress incontinence. Gynaecologia 123: 242–254

    Google Scholar 

  6. Iosif S, Ulmsten U (1979) Urodynamic studies of women with prolapse and stress incontinence before and after surgical repair. Zentralbl Gynäkol 101: 1433–1442

    Google Scholar 

  7. Iosif S, Henriksson L, Ulmsten U (1980) Urethrocystometry as a routine method for the objective evaluation of women with urinary incontinence. Arch Gynecol 230: 41–47

    Article  PubMed  Google Scholar 

  8. Iosif CS (1982) Retropubic colpourethrocystopexy. Urol Int 27: 125–129

    Google Scholar 

  9. Irving M, Lee R (1976) Delayed transsection of urethra by mersilene tape. Urology 8: 580–581

    Article  PubMed  Google Scholar 

  10. Kelly HA, Dumm WM (1914) Urinary incontinence in women, without manifest injury to the bladder. Surg Gynecol Obstet 18: 444–450

    Google Scholar 

  11. Lapides J (1974) Operative technique for stress urinary incontinence. Urology 3: 657–660

    Article  PubMed  Google Scholar 

  12. Low JA (1969) Management of severe anatomic deficiencies of urethral sphincter function by a combined procedure with a fascia lata sling. Am J Obstet Gynecol 105: 149–155

    PubMed  Google Scholar 

  13. McGuire EJ, Lytton B (1978) Pubovaginal sling procedure for stress incontinence. J Urol 119: 82–84

    PubMed  Google Scholar 

  14. Marshall UF, Marchetti AA, Krantz KE (1949) The correction of stress incontinence by simple vesicourethral suspension. Surg Gynecol Obstet 88: 509–518

    Google Scholar 

  15. Morgan JE, Farrow AG (1977) Recurrent stress urinary incontinence in the female. Br J Urol 49: 37–42

    PubMed  Google Scholar 

  16. Nichols HD (1973) The mersilene mesh Gauze-Hammock for severe urinary stress incontinence. Obstet Gynecol 41: 88–93

    PubMed  Google Scholar 

  17. Ridley JH (1974) Gynecologic surgery errors safeguards and salvage. Williams & Wilkins, Baltimore

    Google Scholar 

  18. Schwedt W-E (1971) Eigene Erfahrungen mit der Zoedler-Plastik als Inkontinenz-Operation. Zentralbl Gynäkol 93: 1777–1783

    Google Scholar 

  19. Sjövall A (1946) A modification of the plastic operation on the pyramidalis fascia in urinary incontinence. Operation by the abdominal route only. Acta Obstet Gynecol Scand 26: 546–554

    Google Scholar 

  20. Ulmsten U, Asmussen M, Lindström K (1977) A new technique for simultaneous urethrocystometry including measurements of the urethral pressure profile. Urol Int 32: 127–136

    PubMed  Google Scholar 

  21. Wiser WL, Morrison JC, Loveday GL, et al. (1974) Management of bladder drainage following vaginal plastic repairs. Obstet Gynecol 44: 65–71

    PubMed  Google Scholar 

  22. Zoedler D (1961) Zur operativen Behandlung der weiblichen Stressinkontinenz. Z Urol 54: 355–358

    PubMed  Google Scholar 

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Iosif, C.S. Results of various operations for urinary stress incontinence. Arch. Gynecol. 233, 93–100 (1983). https://doi.org/10.1007/BF02114785

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  • DOI: https://doi.org/10.1007/BF02114785

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