Urolog. pro Praxi, 2007; 2: 61-65

Some notes on diagnosis and treatment of urinary stress incontinence

MUDr. Jan Zmrhal CSc^1,2

¹ Gynekologicko-porodnická klinika III. LF UK a FNKV, Praha

² Gynekologicko-porodnické oddělení NsP Mělník

The author presents some basic facts about stress incontinence, its aetiology, prevalence, and risk factors. He mentions basic diagnosis, which every physician is capable of, as well as special diagnosis which requires the knowledge and skills of a specialist. An overview is given of the methods of conservative treatment the most effective of which are, according to the author‘s experience, electrostimulation and pelvic floor exercises. Operation outcomes for Burch colosuspension and TVT procedure (Ulmsten) in the long term are reported.

At present, operational treatment most typically involves miniinvasive urethropexy performed mostly by using the obturator approach. A novel approach is the TVT-Secure method which is being tested at several centres in the Czech Republic. Also included in the paper is a brief analysis of errors that may lead to possible operation failure.

Keywords: stress incontinence, incontinence diagnosis, conservative treatment, operational treatment

Published: May 1, 2007  Show citation