URGE INCONTINENCE IN FEMALES

The treatment of female stress- and urge incontinence has changed duri ng the last years. The most important trend is the increasing importan ce of conservative treatment modalities (estrogen replacement, pelvic training) in case of stress incontinence grade 1. In case of stress in continence grade II and grade Ill there is a trend towards abdominal s uspension procedures (f. i. Burch operation). The vaginal operative pr ocedures are the method of choice in case of descensus uteri or cysto- rektocele without major urine incontince. Even of the abdominal suspen sion procedures are limited with a succes in about 80%, when patients were controlled 3 years later.