[Diagnostic and therapeutic approach to stress urinary incontinence in women]

This work concerns twenty eight cases of urinary stress incontinence treated between 1977 and 1987. The high incidence of previous perineal operations and multiparity are noted. The diagnosis has been established clinically in all cases. Different types of surgery for urinary stress incontinence have been used: endoscopic bladder neck suspension in 17 cases, and retropubic colpopexy in 9 cases. The results are good in respectively 88% and 78%. Correct diagnosis and operative indication are the main elements of treatment of urinary stress incontinence. Each procedure permitting reposition of the bladder neck and proximal urethra in abdominal manometric enclosure amends the urinary stress incontinence. This endoscopic bladder neck suspension procedure is indicated. Otherwise, this procedure is quick, simple, allowing an easy access even though for multi-operated and fat patients. The failure's factors are analysed.