Surgical Management of Stress Incontinence in Patients with Low Urethral Pressure

Abstract

Thirty-four women with genuine stress incontinence and low urethral closure pressure were studied pre-and postoperatively. A modified Burch retropubic urethropexy was performed in 29 patients with a cure rate of 78 %, improvement in 7%, and failure in 15%. The modified Stamey procedure was performed in 5 patients with significant pelvic floor relaxation with a cure rate of 40% and improvement in 60%. If urethral mobility is present, traditional anti-incontinence procedures appear to be a reasonable alternative in patients with low urethral pressure.