Some Observations on the Surgical Treatment of Urinary Incontinence: (Section of Urology).
TYPES: A. Essential. B. Paradoxical. C. False. D. True.True incontinence.-A. Congenital: (a) Developmental abnormalities. (b) Malformations of nervous system. B. Acquired: (a) Local abnormalities. (b) False passages. (c) Disturbance of innervation.Anatomy of sphincteric mechanism in male and female.


METHODS
Need for careful investigation including cysto-urethroscopy, cysto-urethrography, and cysto-manometry.


METHODS
A. Physiotherapy. B. Direct surgical repair. C. Surgical diversion of urine.TYPES OF TRUE INCONTINENCE AMENABLE TO DIRECT SURGICAL REPAIR: A. Epispadias. B. Aberrant ureteric ostia. C. Fistulae. D. Congenital or acquired defective sphincteric mechanism.Operative treatment of vesico-vaginal fistulae.Transvesical operation for cure of congenitally defective sphincteric mechanism-report of seven cases.Stress incontinence.-Value of urethrograms to ascertain nature of defect. Operative treatment.Incontinence following prostatic surgery.-Types of operation advocated.New operative procedure utilizing ribbon catgut with demonstrative moving picture.
Millin
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