[Reconstructive surgery in stress urinary incontinence comorbid with genital prolapse]

Clinical examination, combined urodynamic and ultrasound investigations, questionnaire survey were made to evaluate treatment results in 146 females with stress urinary incontinence and genital prolapse. These conditions were corrected surgically: in group 1 only incontinence was corrected, in group 2 genital prolapse was also treated. On day 7 after operation positive results were registered in all 146 patients. One year after surgical correction it was effective in 81.5 and 98% patients of groups 1 and 2, respectively. Two, three, four and 5 year follow-up demonstrated that those women who retained urine after 1 postoperative year had no recurrences of incontinence. Long-term follow-up results prove that recurrences occurred more frequently in patients of group 1. Thus, combined surgical technologies providing repair of anatomic and functional defects of the vagina, urinary bladder, pelvic diaphragm are more effective and pathogenetically validated in stress urinary incontinence and genital prolapse. In spite of high efficacy of urinary incontinence surgical correction with application of tape operations, combined correction of normal relationships between organs of the small pelvis allows achievement of better results.