[Are operations for urinary incontinence using colposuspension contraindicated in low urethral closing pressure?]

In a retrospective study the influence of maximum resting urethral closure pressure (CP) and body weight on the results of 33 fascial colposuspension operations were analyzed. The success rate of incontinence surgery was most inferior in cases in which the preoperative CP was lower than 50% of the age-related normal value. Incomplete success or even failure were also attributable mostly to patients with overweight. On the other side, also patients with considerable overweight and/or very low CP were treated successfully. It was unimportant whether fascial colposuspension was performed as primary or secondary operation or in combination with or after hysterectomy. The need to bladder neck elevation and the presence of optimal vaginal condition proved to be the decisive prerequisites for this approach.