[Treatment of patients with urogenital prolapse and urine incontinence]

Treatment outcomes are reviewed for 58 females aged 36 to 54 years with genital prolapse (GP) and urine incontinence (UI): colpoptosis (n=44), incomplete falling of the womb (n=14), UI type IIa (n=36), UI type IIb (n=22). All the patients received surgical treatment. Preoperative biological biofeedback-therapy was used. It resulted in a considerable reduction of detrusoric unstability. The operative treatment combined suburethral sling (TVT technique) with consolidation of the pelvic diaphragm. The operation reestablished anatomo-topographic vesico-urethral correlations providing transmission of high abdominal pressure on the urinary bladder and urethra. This stopped urine loss. Efficacy of the technique was proved by clinical and device tests.