Surgical Management of Stress Urinary Incontinence

Bae, Yang Kyu; Chang, Sae Kook

Abstract

A group of 30 patients with stress urinary incontinence who had been admitted to the Taegu Fatima Hospital during 5 years period from November, 1951 to October, 1956 were subjected for the clinical evaluation in respect of particular attention to surgical management. The results are as follows: 1. Patients varied in age from 34 to 65 years. All patients were multiparous with an average of 4.6 previous deliveries. 2. Clinical symptom classification (Grade I-Grade IV) of stress urinary incontinence reported by Ball was used. There were symptom distributions of Grade II in 13 patients, Grade 1 in 10, Grade III in 5 and Grade IV in 2. 3. According to Green`s classification, patients with stress urinary incontinence were classified into two basic type of urethrovesical anatomy on the cystourethrogram with respect to type 1 and type II. There were anatomic distributions of type 1 in 7 patients and type II in 8, while 15 had cystocele plus uterine prolapse. 4. With minimum follow up of 3 months, overall success rate was 93% in the surgical management (28 out of 30 patients). Success rates according to the each surgical procedure were 91% in the Pereyra procedure (10 out of 11), 83% in Afterior colporrhaphy (5 out of 6) and 100% in Anterior-Posterior colporrhaphy (10), MMK operation (2) and Stamey procedure (1). 5. Postoperative complications were minimal and infrequent except for urinary retention in 17 out of 30 patients (57%) which were managed by catheterization.