CONSERVATIVE THERAPY OF FEMALE GENUINE STRESS-INCONTINENCE WITH VAGINAL CONES

Objective: The objective was to analyse urodynamic data before and aft er conservative treatment with vaginal cones. Study design: The design was an open clinical study and was carried out at the Urogynaecology Unit of the University women's hospital. Eighteen women with genuine u rinary stress incontinence were treated with vaginal cones for 6 weeks . Cystometry was performed before and after conservative therapy, The patients' subjective improvement and the urodynamic data have been com pared. The Mann-Whitney U-test was used for statistical analysis. Remi ts: Of eighteen women with cone therapy, eight were continent after 6 weeks and showed a significant increase of the dynamic urethral closur e pressure. Seven patients reported a subjective improvement, and in t hree women no change of stress incontinence was observed Colposuspensi on was performed at a later date in these three cases. Conclusion: Vag inal cone therapy is a successfull method to cure mild female stress i ncontinence and has the advantage of avoiding incontinence operation. Therapeutic success can be assessed by urodynamic evaluation.