title: [The results of surgical treatment urinary stress incontinence of Burch and TVT methods independent of position of pelvic organ].
abstract: 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.
authors: Pomorska Akademia Medyczna w Szczecinie, Klinika Rozrodczości i Ginekologii. fampiel@sci.pam.szczecin.pl
authors: Agnieszka
authors: A
authors: Brodowska
authors: Andrzej
authors: A
authors: Starczewski
authors: Jacek
authors: J
authors: Brodowski
authors: Maria
authors: M
authors: Laszczyńska
authors: Jolanta
authors: J
authors: Nawrocka-Rutkowska
authors: Aleksandra
authors: A
authors: Marciniak
mesh_terms: 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