[Treatment of female stress urinary incontinence. Results and critical analysis based on 78 cases]

This work reviews 78 case histories of urinary incontinence in women treated surgically. There are two series compared with one another: Burch's operation (indirect colpocystopexy) carried out on 37 patients. The placing of an aponevrotic sling under the neck of the bladder by Cukier's method in 41 patients. Urodynamic studies were carried out in each case systematically before and after operation in order to make a diagnosis and indicate the correct treatment to use in each particular patient. The results as far as the incontinence is concerned, clinically and urodynamically, were good, with a cure rate or a great improvement in 94% to 97.5% of cases. The results seem to be better when strips were used; but these increased the numbers of patients who suffered from dysuria. A protocol for treating these cases of stress incontinences in women can be worked out from this study.