SURGICAL-TREATMENT ALTERNATIVES IN STRESS-INCONTINENCE

Objectives: This study was performed to evaluate the different surgica l treatment alternatives for urinary stress incontinence and their cli nical results. Methods: Of the patients who visited our clinic between January 1989 and June 1994 complaining of urinary stress incontinence , 408 were found to have genuine stress incontinence (GSI) after under going clinical and laboratory investigations. These 408 patients were treated with different surgical techniques. Their postoperative result s are discussed. Results: After postoperative follow-up, the success r ates of the different surgical techniques were as follows: anterior co lporrhaphy (Kelly plication) 66.2%, Marshall-Marchetti-Krantz 88.7%, B urch procedure 94.1%, and sling urethropexy 97.5%. Conclusions: Patien ts with a clear-cut diagnosis of GSI must be surgically treated. There are several different techniques, all of which have advantages and di sadvantages. If the right technique is used for the right patient then the success rate is high.