Results of various operations for urinary stress incontinence

[Clinical, urodynamic and radiologic parameters for determining success following surgery of incontinence]

The basis of any quality control after surgery for SUI is objective control by pre- and postoperative quantification of urinary loss. Whereas a clinical stress test or the ICS pad-weigh-test allows to quantify, history as well as urodynamic data do not. For analysis of failures the whole diagnostic range (history, urodynamic, radiology/sonography, gynecologic examination) is needed, which enables to decide about second line therapy. Voiding difficulties and urge-incontinence after surgery for SUI are major complications and have to be critically analysed.

Influence of hysterectomy on the results of the Zödler sling procedure in stress incontinent women

Zödler's sling procedure was done from 1984 to 1986 at our Department in 108 patients suffering from stress incontinence. Eighty-four patients could be interviewed presently; 51 had been hysterectomized prior to our operation whereas 33 had not been hysterectomized. We evaluated the influence of hysterectomy on the early and late outcome of our operation. There were no significant differences between the two groups.