title: Surgical management of stress incontinence in patients with low urethral pressure.
abstract: Thirty-four women with genuine stress incontinence and low urethral closure pressure were studied pre- and postoperatively. A modified Burch retropubic urethropexy was performed in 29 patients with a cure rate of 78%, improvement in 7%, and failure in 15%. The modified Stamey procedure was performed in 5 patients with significant pelvic floor relaxation with a cure rate of 40% and improvement in 60%. If urethral mobility is present, traditional anti-incontinence procedures appear to be a reasonable alternative in patients with low urethral pressure.
authors.affiliation: Department of Obstetrics and Gynecology, Grace Hospital, Wayne State University, Detroit, Mich.
authors.forename: D A
authors.initials: DA
authors.lastname: Richardson
authors.forename: A
authors.initials: A
authors.lastname: Ramahi
authors.forename: E
authors.initials: E
authors.lastname: Chalas
mesh_terms: D005260:Female; D006801:Humans; D011312:Pressure; D012189:Retrospective Studies; D014521:Urethra / Q000503:physiopathology*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics / Q000502:physiology