[The results of surgical treatment urinary stress incontinence of Burch and TVT methods independent of position of pelvic organ].
Urinary incontinence is a social disease. In age-various women groups it appears in abort 15-30%. After menopause urinary incontinence frequency increases to 40%. In most cares stress urinary incontinence (SUI) demands surgical treatment. There are many treatment opinions, but there is no 100% effective method.


OBJECTIVE
In this research two surgical treatment methods (Burch suspension vs tension-free vaginal tape - TVT method) for urinary incontinence were compared.


METHODS
The study was undertaken in 295 women. After carefully diagnostic (interview, ultrasound, assessment of risk factors) of SUI patients were qualified to Burch suspension or TVT method. Effects were assessed after 24 postoperative months.


RESULTS
Total lost of complaints was obtained in 65% after TVT In case of retroflexio of uterus percent of recoveries was lower--about 30%, independently on a type of operation. Even small agree of cervical descent get worse a treatment effects. Clinical effects were confirmed by ultrasound (angle between urethra and bladder, distance between symphysis and urethra before and treatment).


CONCLUSIONS
Result of surgical treatment of urinary incontinence is about 65% of improvement regardless of surgical method. Retroflexio of uterus and cervical descent make this result even worse.
Brodowska
Agnieszka
A
Pomorska Akademia Medyczna w Szczecinie, Klinika Rozrodczości i Ginekologii. fampiel@sci.pam.szczecin.pl
Starczewski
Andrzej
A
Brodowski
Jacek
J
Laszczyńska
Maria
M
Nawrocka-Rutkowska
Jolanta
J
Marciniak
Aleksandra
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008875:Middle Aged; D011187:Posture; D053832:Surgical Tape; D016896:Treatment Outcome; D014463:Ultrasonography; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*; D014599:Uterus / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000473:pathology