Related Experiment Video
Updated: May 19, 2026

A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation
Published on: June 20, 2025
Surgical treatment of mixed and urge urinary incontinence in women
Wolfram Jäger1, Olga Mirenska, Sabine Brügge
1Urogynaecology Unit, Department of Obstetrics and Gynecology, University of Cologne, Cologne, Germany. wolframjaeger@gmx.de
Background/Aims:
The etiology of urge urinary incontinence is unknown. Pharmacological treatments are disappointing, since they are only slightly more effective than a placebo. In this study, we analyzed whether the surgical replacement of the uterosacral ligaments by an alloplastic tape can cure patients with mixed and urge urinary incontinence.
Methods:
This study was a nonrandomized clinical trial. The study was performed in the Department of Gynecology of a general hospital and a university clinic. 135 women with urge or mixed urinary incontinence were operated on. The utero-sacral ligaments as well as the pubo-urethral ligaments - if necessary - were replaced by alloplastic tapes. Clinical outcome was evaluated immediately after surgery, 3 months later and 1 year later. Outcome was classified as cure, improvement or failure and recurrences.
Results:
102 patients (77%) were cured and a further 24 patients (18%) showed improvement after surgery. 19 patients developed a recurrence between 5 and 33 months after surgery.
Conclusion:
We therefore conclude that most patients with urge and mixed urinary incontinence can be cured by surgery.
Related Concept Videos
Urinary Tract Calculi VI: Surgical Management
Urinary Tract Calculi III: Medical Management
Urinary Tract Infection IV: Nursing Management
Urinary Tract Calculi V: Nursing Management
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care