Urological Investigation in Women with Recurrent Incontinence Following Gynecological Surgery

Abstract
51 incontinent women have been investigated following unsuccessful surgical attempts to correct their incontinence. In more than half of the patients two or more operations had been performed. The urological investigation consisted of cystometry, simultaneous pressure-flow-EMG recordings, electric bladder-sensibility test and gynecological examination. The majority of the patients (60%) suffered from decreased urethral resistance, vesical descensus or cystocele, whereas 16% had neurogenic bladder disorders. The treatment of choice for the former conditions was the colporsuspension, while the latter were treated pharmacologically. The overall improvement rate was 86%. The social disability rate was reduced from 51 to 20%.