[Value of colpocystography for the diagnosis of incontinence]

Striving to improve diagnosis of the functional urinary incontinence in female patients, we carried out colpocystographic examinations in 78 women. With inconspicuous X--ray photos (22) the rest of the diagnostic parameters--with the exception of one--indicate mostly an irritable bladder (4) or at the very least a notable component of an irritable bladder (56). With radiographic findings suggesting stress incontinence (56) a complete (19) or least a partial (27) coincidence with the clinical findings, was likewise more often than divergent findings (only 10 prevalent irritable bladders). Methodology of examination and analysis are explained. The essential advantage of the colpocystographic method over the traditional urethrocystographic methods is according to our hitherto existing experiences, that we can additionally recognize adhesions between urethra, bladder and vagina, which we have to operate. These adhesions can involve both a stress incontinence and an irritable bladder. Consequently this method is suitable for the complex diagnosis of the functional urinary incontinence in female patients.