[Gynecologic urology]

Urinary incontinence, urge symptoms and repeated urinary tract infections are among the most frequent ailments seen in women. Usually, they are easily diagnosed and treated effectively using conservative means. If this treatment fails, a urodynamic investigation should be performed. This includes urethrocystometry and a lateral urethrocystography. The diagnosis made through urodynamic exploration leads to a specific treatment, which usually means, in the case of stress urinary incontinence, a surgical procedure. Subsequently, based on our observations and experiences through urodynamic testing and postoperative follow-ups, we present a concept for the treatment of stress urinary incontinence. Furthermore, the benefits and risks of various vaginal and abdominal surgical approaches, as well as some specific modifications, have been evaluated.