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%).
Similar content being viewed by others
References
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
Burch JC (1961) Urethrovaginal fixation to Cooper's ligament for correction of stress incontinence, cystocele and prolapse. Am J Obstet Gynecol 81: 281–290
Faber P, Beck L, Heidenreich J (1978) Treatment of urinary stress incontinence with the lyodura sling. Urol Int 33: 117–119
Heidenreich J, Faber L, Beck L (1975) Kongreß der deutschen Gesellschaft für Urologie, Düsseldorf. Demeter, Gräfelfing
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
Iosif S, Ulmsten U (1979) Urodynamic studies of women with prolapse and stress incontinence before and after surgical repair. Zentralbl Gynäkol 101: 1433–1442
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
Iosif CS (1982) Retropubic colpourethrocystopexy. Urol Int 27: 125–129
Irving M, Lee R (1976) Delayed transsection of urethra by mersilene tape. Urology 8: 580–581
Kelly HA, Dumm WM (1914) Urinary incontinence in women, without manifest injury to the bladder. Surg Gynecol Obstet 18: 444–450
Lapides J (1974) Operative technique for stress urinary incontinence. Urology 3: 657–660
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
McGuire EJ, Lytton B (1978) Pubovaginal sling procedure for stress incontinence. J Urol 119: 82–84
Marshall UF, Marchetti AA, Krantz KE (1949) The correction of stress incontinence by simple vesicourethral suspension. Surg Gynecol Obstet 88: 509–518
Morgan JE, Farrow AG (1977) Recurrent stress urinary incontinence in the female. Br J Urol 49: 37–42
Nichols HD (1973) The mersilene mesh Gauze-Hammock for severe urinary stress incontinence. Obstet Gynecol 41: 88–93
Ridley JH (1974) Gynecologic surgery errors safeguards and salvage. Williams & Wilkins, Baltimore
Schwedt W-E (1971) Eigene Erfahrungen mit der Zoedler-Plastik als Inkontinenz-Operation. Zentralbl Gynäkol 93: 1777–1783
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
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
Wiser WL, Morrison JC, Loveday GL, et al. (1974) Management of bladder drainage following vaginal plastic repairs. Obstet Gynecol 44: 65–71
Zoedler D (1961) Zur operativen Behandlung der weiblichen Stressinkontinenz. Z Urol 54: 355–358
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Iosif, C.S. Results of various operations for urinary stress incontinence. Arch. Gynecol. 233, 93–100 (1983). https://doi.org/10.1007/BF02114785
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02114785