[Treatment of urinary incontinence in postmenopausal women]

Examination of 65 postmenopausal women with urinary incontinence demonstrated that most of the patients had mixed urinary incontinence. Pathogenesis of urinary incontinence in postmenopausal women is strongly associated with estrogen deficiency. This dictates necessity of preoperative hormone replacement therapy. Surgical treatment of postmenopausal women aims at elevation of obturator pressure, prolongation of the urethra with narrowing of its orifice which can be managed with combination of urethrocystoplasty, levatoroplasty and sling operation.