[Clinical and urodynamic findings in women with recurrent urinary incontinence]

The study includes 40 subjects with recurrent urinary incontinence who were subjected to a detailed clinical examination to detect descent of the bladder neck and the proximal urethra and to a full urodynamic investigation in the aim to determine the reasons for operative failure. A high incidence of urge-incontinence was found (37.5%), as well as of extremely and very low urethral closure pressure (35.7%). In 67.7% of the recurrences the bladder neck was not adequately elevated but many of them also showed very low urethral closure pressure failure are probably not the technical ones but those concerning the exact preoperative estimation of the disorder and the prospects for surgical treatment.