Primary female stress urinary incontinence has been evaluated with a full urodynamic, urostatic and uroradiological examination before and after vaginal repair or colposuspension operation. Vaginal repairs were generally performed in cases with a high or normal micturition pressure whereas colposuspensions were preferred in patients with a low pressure micturition pattern. The anatomy of bladder base and bladder support as depicted in the radiographs was taken into consideration in choosing operative techniques. The effect of the treatment was evaluated clinically and correlated to the observed changes in the urodynamic pattern. The operation does not result in any significant difference in urodynamic findings correlated to the subjective feelings: cure or failure.

Keywords:
Stress incontinence, Urodynamic examination, Colpocystourethrography, Bladder base insufficiency, Trigonocele, Vesical descensus, Vaginal repair, Colposuspension
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© 1978 S. Karger AG, Basel
1978
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