[Intraoperative sphincterotonometrie during plastic repair of the urogenital diaphragm (author's transl)]

The method of using sphincterotonometry during the operation, which is described in this paper, adds further importance to this means of examination besides the pre-operative classifying of urinary incontinence and the postoperative control of the surgical success. By drawing up a urethral profile and by performing simultaneous impact palpation the functional effect of the operation can be checked during the same, so that a possibly necessary correction can follow at once.--Up-til now this test has been carried out during 16 operations on urinary incontinence (diaphragma plastic by Kelly with at least one years of postoperative control).--According to our hitherto existing examinations a positive closing pressure of more than 10 mmHg is necessary for achieving a functionally satisfying operation result.