Urolog. pro Praxi, 2005; 2: 67-73

SURGICAL THERAPY OF URINARY STRESS INCONTINENCE

MUDr. Ladislav Krofta CSc

Ústav pro péči o matku a dítě, Praha-Podolí

Several interesting publications explaining particular anatomical components responsible for physiology of pelvic bottom appeared at the end of eighties and in the course of nineties of the last century. This was an important step in explanation of etiopathogenesis of genital descensus and urinary stress incontinence. Pelvic bottom ceased to be an area evaluated separately by a gynecologist, an urologist and a proctologist. It is a functional complex requiring a multidisciplinary approach. With a development of new surgical techniques going in hand with use of new synthetic materials, the pelvic surgery is not a domain of classical surgical approach any more. Multifactorial etiology of urinary incontinence requires a spectrum of different, in most cases complementary, but sometimes also antagonistic measures. Urinary stress incontinence is treated usually surgically in contrast to urinary urgency where the treatment of choice is conservative. In urinary stress incontinence it is necessary to use all conservative measures before surgical treatment. We can assume that with prolongation of life expectancy in females, the issues related to pelvic bottom will be more and more important.

Keywords: Key words: urinary incontinence, surgical therapy, TVT, Burch, Pereyera.

Published: January 1, 2006  Show citation