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ABDOMINOPERINEAL URETHRAL SUSPENSION IN THE MANAGEMENT OF RECURRENT STRESS INCONTINENCE OF URINE

Department of Gynecology, Alfred Hospital, Melbourne, Australia.

Abstract

Since 1965, the procedure of abdominoperineal urethral suspension has been applied as the sole method of surgical correction in the management of patients suffering from recurrent urinary stress incontinence. During a 15-year period (1965 to 1980), 194 women were selected for this procedure by entirely clinical methods. Ancillary aids to diagnosis were not used. Long-term follow-up indicates that careful selection followed by accurate surgery based upon macroscopic anatomy can produce excellent long-term results. The overall cure rate of 77.5% rises to 84.37% if the patients who have improved are included.