Surgical correction of stress incontinence

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Objective and methods: 126 patients were operated for stress incontinence since 1994 using different methods of surgical correction: Ls Burch - 62 patients, Ls MESH - 39, by Pereyra - 11 and Min. Sling -14. In 102 cases surgical correction of urine incontinence were performed together with surgical treatment of pathology of internal genital organs including genital descent. The surgical method varied according to the type of urine incontinence, the age of the patient and the presence of internal genital organ diseases. In type I urine incontinence (by McUuir) among patients of mean age group the best operation was Ls Burch, in the older age group - Pereyra. Among patients of the mean age group with type II urine incontinence - Ls MESH vaginopexy, in older patients - operation Pereyra. Colporrhaphy was done according to indications. In type HI incontinence the min. sling operation was carried out.

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Results: Through the use of the above chart for the surgical treatment of urine incontinence 92% excellent and good results in a 4 year follow up study was achieved.

Conclusions: Operation Burch cannot be the "golden standard" in the surgical correction of stress incontinence. In the presence of incontinence with genital organ descent another type of operation for pelvic floor reinforcement is necessary.