[Surgical concepts in female urinary stress incontinence].
Severe anatomical and functional defects and failure or rejection of conservative treatment are clear indications for surgical repair of sphincter incompetence. Adequate pretherapeutical diagnostic work-up should rule out other reasons for incontinence and additional pathology and allow adequate selection of the surgical technique. Prospective randomized studies as well as meta-analyses enable us to recognize suitable procedures; for primary surgery colposuspension and tension-free vaginal tapes (TVT), and in selected cases traditional slings can be recommended, whereas vaginal repairs, needle suspensions and the different injectables should not be encouraged for primary cases.
Petri
E
E
Frauenklinik, Medizinischen Zentrums der Landeshaupstadt, Schwerin. profpetri@gmx.de
Kölbl
H
H
Eberhard
J
J
D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D012008:Recurrence; D012086:Reoperation; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*; D014621:Vagina / Q000601:surgery